WILLIE SMITH II

Non-emergency Medical Transport (VAN)

Active Individual
NPI: 1154149771

Practice Address

1612 CHACON CANYON DR
Desoto, TX 75115

Phone: (817) 704-9583

Specialties

Specialty Code Primary License
Driver 172A00000X No 02039054 (TX)
Non-emergency Medical Transport (VAN) 343900000X Yes 02039054 (TX)

Frequently Asked Questions

NPI 1154149771 is the National Provider Identifier for WILLIE SMITH II, a Non-emergency Medical Transport (VAN) provider located in Desoto, TX. This NPI was enumerated on October 2, 2024.
WILLIE SMITH II practices at 1612 CHACON CANYON DR, Desoto, TX 75115.

Quick Facts

NPI
1154149771
Type
Individual
Enumerated
Oct 2, 2024
Last Updated
Oct 4, 2024

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