MEDICARE: MRS. SARAH ELIZABETH SMITH CRNA

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	367500000X	Certified Registered Nurse Anesthetist	599829	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00301992	OTHER	TX	RAILROAD MEDICARE PART B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	86318U	OTHER	TX	BCBS OF TEXAS

General Provider Information

NPI Number	:	1629154174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH ELIZABETH SMITH CRNA

Provider Business Mailing Address
First Line	:	1515 BOYDS BRANCH DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76005-1314
Country	:	US
Telephone Number	:	214-952-5773
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 BOYDS BRANCH DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76005-1314
Country	:	US
Telephone Number	:	214-952-5773
Fax Number	:

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	10/20/2025

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