| Doctor Name: | RICHARD J SMITH |
| NPI Number: | 1396029708 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ATP |
| License Number: | ATP 4410 |
| Business Practice Address: | 201 Linda Dr Sulphur Springs, TX - 754824354 |
| Business Phone Number: | 9038858700 |
| Business Fax Number: | 9038858711 |
| Mailing Address: | 201 Linda Dr, SULPHUR SPRINGS |
| State: | TX |
| Postal Code: | 754824354 |
| Phone Number: | 9038858700 |
| Fax Number: | 9038858711 |
| NPI Enumeration Date: | 10/04/2011 |
| NPI Last Update Date: | 10/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | ATP 4410 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |