Provider Demographics
NPI:1467244699
Name:SMITH, ALLISON THERESA (PA)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:THERESA
Last Name:SMITH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7115 GREENVILLE AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5103
Mailing Address - Country:US
Mailing Address - Phone:214-265-3200
Mailing Address - Fax:214-265-3285
Practice Address - Street 1:7115 GREENVILLE AVE STE 310
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5103
Practice Address - Country:US
Practice Address - Phone:214-265-3200
Practice Address - Fax:214-265-3285
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program