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Jack Smith, PA
NPI 1528036704 · on the registry since 2006
Practice
- Address
- 4401 W Memorial Rd
Oklahoma City, OK 73134 - Phone
- (405) 751-4664
- Fax
- (405) 749-4561
- Organisation at this address
- Tyson Quy Md, Llc
Eaglet Health Llc
Teresa K Davis Dds Pllc
Patrick Crowley, Dds, Pllc
Live Well Family ChiropracticInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 1000 N Lee Ave, Oklahoma City, OK
- 5200 E I 240 Service Rd, Oklahoma City, OK
- 4050 W Memorial Rd, Oklahoma City, OK
- 201 S Sara Rd, Mustang, OK
- 2115 Parkview Drive, El Reno, OK
- 13500 S Tulsa Dr, Oklahoma City, OK
- 700 Ne 13th St, Oklahoma City, OK
- 13401 N Western Ave, Oklahoma City, OK
- 3400 S Douglas Blvd, Oklahoma City, OK
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma