AMITY LYNN SMITH, PLLC
Ambulatory Health at Zena Rucker Rd, Grapevine, TX

License number
Texas L9802
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: AMITY LYNN SMITH MD
Title: OWNER
Phone: (817) 488-2837
Address
Address
601 Zena Rucker Rd STE 105, Grapevine, TX 76092
National Provider ID: 1114323987
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AMITY LYNN SMITH, PLLC at bizstanding.com

AMITY LYNN SMITH, PLLC

1229 Strathmore Dr, Southlake, TX 76092

Registration:
Apr 24, 2013
State ID:
0801772762
Business type:
Domestic Limited Liability Company (LLC)
Manager:
Amity Smith Mattei (Manager)
TIN:
32050818973

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