DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JEFFREY P. SMITH M.D.

MEDICARE: DR. JEFFREY P. SMITH M.D.
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
1208000000XPediatrics PhysicianJ4527TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
300850XOTHERTXGROUP MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
145D1034142OTHERTXCLIA
2J4527OTHERTXMEDICAL LICENSE
40026MAOTHERTXGROUP BC/BS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
78R1210OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1760578835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY P. SMITH M.D.
Provider Business Mailing Address
First Line : 523 S FANNIN AVE
Second Line :
City : TYLER
State : TX
Zip : 75702-8204
Country : US
Telephone Number : 903-535-9041
Fax Number :
Provider Business Practice Location Address
First Line : 214 E HOUSTON ST
Second Line :
City : TYLER
State : TX
Zip : 75702-8131
Country : US
Telephone Number : 903-535-9041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 11/21/2024

Similar Medicare Providers

1457336265 — MRS. MARIELLEN ANGELA SPEAKER FNP
Practice Location Address:
214 E HOUSTON ST
TYLER, TX
75702-8131
Practice Phone: 903-593-1892
Practice Fax: 903-533-1776
1205809043 — DR. DAVID L DALTON M.D.
Practice Location Address:
214 E HOUSTON ST
TYLER, TX
75702-8131
Practice Phone: 903-535-9041
Practice Fax: 903-533-0726
1821024654 — MRS. LUCIANNE MARIN M.D.
Practice Location Address:
214 E HOUSTON ST
TYLER, TX
75702-8131
Practice Phone: 903-535-9041
Practice Fax:
1255413134 — BRENDA MORGAN-WEBBER NP
Practice Location Address:
214 E HOUSTON ST
TYLER, TX
75702-8131
Practice Phone: 903-593-1892
Practice Fax: 903-533-1776
1619042322 — MS. MARGO LYN SCOTT BSW, LBSW
Practice Location Address:
214 E HOUSTON ST
TYLER, TX
75702-8131
Practice Phone: 903-535-9041
Practice Fax: 903-533-0726
1881769081 — MARY LOU THOMASON RN
Practice Location Address:
214 E HOUSTON ST
TYLER, TX
75702-8131
Practice Phone: 903-535-9041
Practice Fax: 903-533-0726

Directions to “ DR. JEFFREY P. SMITH M.D.” 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 © 2007-2025 (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.