Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Smith

Individual provider Physician Assistant · NPI 1023478468

Jeremy Smith is a Physician Assistant in Fort Worth, Texas. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

3310 Runnels St
Fort Worth, TX 76106-6421
Phone: (469) 237-8614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023478468
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2016
Last updated in NPPESMarch 27, 2016
Mailing addressPo Box 535822, Grand Prairie, TX 75053-5822

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