IndividualActive
Tamiko Smith
NPI 1083176457 · Clinical Pathology/Laboratory Medicine Physician · Grand Prairie, TX
Provider details
- NPI number
- 1083176457
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 45D2163869 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
410 Nw 11th St # 112
Grand Prairie, TX 75050-5416
Phone: (469) 212-7879
Fax: (469) 480-4763
Approximate (ZIP-level) locationGet directions
Mailing address
410 Nw 11th St # 112
Grand Prairie, TX 75050-5416
Registry dates
- Enumerated
- 2019-04-03
- Last updated
- 2019-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.