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General NPI Number Information
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NPI Number | 1093929150
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Entity Type | Individual
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Provider Name | MARCUS ANDREW SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 2602 SAINT MICHAEL DR STE 302B
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City | TEXARKANA
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State | TX
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Zip | 75503-5228
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Country | US
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Telephone | 903-794-4196
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Fax | 903-614-5190
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Provider Business Mailing Address
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Address Line | PO BOX 9600 DEPARTMENT 09-019
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City | TEXARKANA
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State | TX
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Zip | 75505-9600
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Country | US
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Telephone | 903-794-4196
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Fax | 903-792-7408
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | N1153
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | N1153
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License Number State | TX
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