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NPI Code Detail

MEDICARE: PAULA E SMITH DO

MEDICARE: PAULA E SMITH DO
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
1207V00000XObstetrics & Gynecology PhysicianN8990TX
2207V00000XObstetrics & Gynecology Physician260139NY
3207VM0101XMaternal & Fetal Medicine PhysicianN8990TX

General Provider Information

NPI Number : 1750575742
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA E SMITH DO
Provider Business Mailing Address
First Line : PO BOX 848491
Second Line :
City : DALLAS
State : TX
Zip : 75284-8491
Country : US
Telephone Number : 254-202-9330
Fax Number : 254-202-9349
Provider Business Practice Location Address
First Line : 50 HILLCREST MEDICAL BLVD STE 304
Second Line :
City : WACO
State : TX
Zip : 76712-8955
Country : US
Telephone Number : 254-202-6580
Fax Number : 254-754-6589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2007
Last Update Date : 10/29/2020

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