Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDY LEE SMITH
Deactivated Sole ProprietorMR. RANDY LEE SMITH is a Durable Medical Equipment & Medical Supplies healthcare provider located in FORT WORTH, Texas. NPI 1336173632 is deactivated in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · FORT WORTH, TX
This NPI has been deactivated.
The record was deactivated on September 8, 2011.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1336173632
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (5.1639344262295 yrs)
- Last Updated
- Jul 29, 2025
- Deactivated
- Sep 8, 2011
- Licenses
-
421484921 (TX)0090042 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2908 SE LOOP 820FORT WORTH, TX, 761401019Browse TX providers · Browse ZIP 76140
- Phone
- 8175908166
- Fax
- 8175908277
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
- Additional Specialty
- Durable Medical Equipment & Medical Supplies
- Additional Specialty
- Durable Medical Equipment & Medical Supplies
- Additional Specialty
- Durable Medical Equipment & Medical Supplies
Other Durable Medical Equipment & Medical Supplies Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| ANTONO L. MENDEZ | — | 1578631859 |
| DR. TALBEN POPE | — | 1881839249 |
| MR. DERON TEREL GRAY | — | 1275865735 |
| LESLEY RAE HAUCK | RN | 1639643687 |
| EVAN LARSON | — | 1376164921 |
| GARRETT ROYCE ADAMS | — | 1780370213 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.