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

Willie Smith II

Individual provider Driver · NPI 1154149771

Willie Smith II is a Driver in Desoto, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1612 Chacon Canyon Dr
Desoto, TX 75115-7782
Phone: (817) 704-9583
Show map & directions

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

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence 02039054 (TX)
Driver Taxonomy 172A00000X · Licence 02039054 (TX)

Record details

NPI number1154149771
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing address1612 Chacon Canyon Dr, Desoto, TX 75115-7782

Other providers in Desoto