MEDICARE: MICHAEL SMITH D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	K5007	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750384459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SMITH D.O.

Provider Business Mailing Address
First Line	:	PO BOX 846098
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-6098
Country	:	US
Telephone Number	:	903-606-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 S LOOP 256
Second Line	:	STE 610
City	:	PALESTINE
State	:	TX
Zip	:	75801-6901
Country	:	US
Telephone Number	:	903-729-6768
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	12/06/2022

Similar Medicare Providers

1336142512 — WAYNE BROWN D.O.
Practice Location Address:

3201 S LOOP 256 , STE 630
PALESTINE, TX
75801-6901

Practice Phone: 903-723-2311
Practice Fax:

1295738466 — THOMAS CHICK M.D.
Practice Location Address:

3201 S LOOP 256
PALESTINE, TX
75801-6901

Practice Phone: 903-723-8800
Practice Fax:

1578566683 — ALEC LAW M.D.
Practice Location Address:

3201 S LOOP 256
PALESTINE, TX
75801-6901

Practice Phone: 903-723-8800
Practice Fax:

1710980826 — ROBERT MCFARLANE M.D.
Practice Location Address:

3201 S LOOP 256
PALESTINE, TX
75801-6901

Practice Phone: 903-723-8800
Practice Fax: 903-731-4699

1629071709 — JOHN O'DONNELL M.D.
Practice Location Address:

3201 S LOOP 256 , STE 170
PALESTINE, TX
75801-6901

Practice Phone: 903-723-8800
Practice Fax:

1821091703 — GLENN ROUTHOUSKA D.O.
Practice Location Address:

3201 S LOOP 256
PALESTINE, TX
75801-6901

Practice Phone: 903-723-0330
Practice Fax:

Directions to “ MICHAEL SMITH D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.