Provider Demographics
NPI:1366642043
Name:PAUL W. SMITH
Entity Type:Organization
Organization Name:PAUL W. SMITH
Other - Org Name:DFW SURGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SURGICAL FIRST ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:W
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:817-553-5303
Mailing Address - Street 1:PO BOX 822516
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-2516
Mailing Address - Country:US
Mailing Address - Phone:817-553-5303
Mailing Address - Fax:817-553-5304
Practice Address - Street 1:6917 TRADONNA LN
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-4058
Practice Address - Country:US
Practice Address - Phone:817-553-5303
Practice Address - Fax:817-553-5304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty