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DR. MARK SMITH PA
NPI 1033461017
Clinic/Center in Fort Worth, TX

Active since October 15, 2012CLIA 45D0703264 · Microscopy
7100 OAKMONT BVLD SUITE 108, FORT WORTH, TX 76132(817) 370-2657(817) 370-2186 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Smith Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK SMITH PA (NPI 1033461017) is a healthcare organization registered as a clinic/center in Fort Worth, Texas and active in the NPI registry since October 2012. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Daphne Anglin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033461017
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDR. MARK SMITH PA
Location Address7100 OAKMONT BVLD SUITE 108Fort Worth, TX 76132-3908
Mailing Address7100 Oakmont Bvld Suite 108Fort Worth, TX 76132-3908 · (817) 370-2657 · Fax (817) 370-2186
Phone(817) 370-2657
Fax(817) 370-2186
Organization SubpartNo
Authorized OfficialDaphne AnglinOffice Manager · (817) 370-2657
Enumeration DateOctober 15, 2012
✔ NPI 1033461017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · H5975
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7100 OAKMONT BVLD SUITE 108, Fort Worth, TX 76132
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Other Identifiers 1

Medicare PIN00H23STX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0703264

Mark D Smith, MD, PA · Fort Worth, TX
Active · expires Aug 31, 2026
CLIA Number45D0703264
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMark D. Smith
Laboratory Phone(817) 370-2657
Laboratory LocationMark D Smith, MD, PA7100 Oakmont Boulevard Suite 202, Fort Worth, TX 76132
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Mark Smith PA's NPI number?

The NPI number for Dr. Mark Smith PA is 1033461017. It was assigned to this organization in the NPPES registry on October 15, 2012.

Where is Dr. Mark Smith PA located?

Dr. Mark Smith PA is located at 7100 Oakmont Bvld Suite 108, Fort Worth, TX 76132. The listed phone number is (817) 370-2657.

What is Dr. Mark Smith PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Dr. Mark Smith PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0703264) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr. Mark Smith PA was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.