Liesl Bredeson Smith, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

K3012 Issued in TX

Legal business name

LIESL BREDESON SMITH, M.D., P.A.

Practice address

8160 Walnut Hill LN
Suite 212
Dallas, TX 75231-4339

Phone

(214) 345-8485

Fax

(214) 345-8486

NPI assigned

Apr 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Liesl B Smith, MD

Title

Owner Operator

Phone

(214) 345-8485

Specialties & licenses 1

Addresses

Other names 1

• Liesl B Smith, M.D. Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1760600720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678149",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678149",
            "telephone_number": "214-345-8485",
            "fax_number": "214-345-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN",
            "address_2": "SUITE 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314339",
            "telephone_number": "214-345-8485",
            "fax_number": "214-345-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIESL BREDESON SMITH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LIESL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "214-345-8485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liesl B Smith, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Shelby R Lies, MD
• Gabriella Lieto
• Emma Grace Hixson Lieu, PA-C
• Linh P Lieu
• Michael Lieu, MD
• Thai Lieu, LMT

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.