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NPI Code Detail

MEDICARE: DR. THOMAS EDWIN SMITH MD

MEDICARE:  DR. THOMAS EDWIN SMITH  MD
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
1146D00000XPersonal Emergency Response AttendantK7902TX
2207P00000XEmergency Medicine PhysicianK7902TX
3207Q00000XFamily Medicine PhysicianK7902TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18W0362OTHERTXBLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770533168
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS EDWIN SMITH MD
Provider Business Mailing Address
First Line : 200 CANYON CREEK DR
Second Line :
City : AMARILLO
State : TX
Zip : 79118-3830
Country : US
Telephone Number : 806-622-5092
Fax Number :
Provider Business Practice Location Address
First Line : 200 CANYON CREEK DR
Second Line :
City : AMARILLO
State : TX
Zip : 79118-3830
Country : US
Telephone Number : 806-622-5092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 10/09/2008

Similar Medicare Providers

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Practice Location Address:
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1215995634 — JANE CHRISTINE MEYERS ANP
Practice Location Address:
1900 SE 34TH AVE , UNIT 1800
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1396775359 — DR. KYRA LIJA FERRIGAN OD
Practice Location Address:
1900 SE 34TH AVE , SUITE 250
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Directions to “ DR. THOMAS EDWIN SMITH MD” Practice Location

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