Liesl Bredeson Smith M.D.

NPI 1093767741 - Specialist - 174400000X

NPI Details
NPI 1093767741
Gender Female
Enumeration Date 05/17/2006
Last Updated 12/01/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
8160 WALNUT HILL LN
SUITE 224
DALLAS TX, 75231-4339, US
Phone (214) 365-1150
Fax (214) 363-2477
Business Location
1701 N COLLINS BLVD
327
RICHARDSON TX, 75080-3564, US
Phone (972) 644-2819
Fax (972) 680-2949
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number K3012
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According to our database, Dr. Liesl Bredeson Smith M.D. NPI is 1093767741, taxonomy code is 174400000X and license number is K3012, license state is located at Texas. Liesl Bredeson Smith M.D. physically located at 8160 Walnut Hill Ln, Dallas TX, 75231-4339. NPI Number Liesl Bredeson Smith M.D. has the Individual type.

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1093767741 NPI number is provided on an as is basis without warranty of any kind. 1093767741 is maintained by the National Plan & Provider Enumeration System. The contents of Liesl Bredeson Smith M.D. are for informational purposes only.