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Willie Smith
NPI 1154149771 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1612 Chacon Canyon Dr
Desoto, TX 75115 - Phone
- (817) 704-9583
- Organisation at this address
- Ws Transportation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 172A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas