Smith, Angela N
Smith, Angela N is an sole proprietor health care provider with primary practice located at 820 E. Front , Tyler TX 75702-8326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Smith, Angela N can be contacted via phone (903) 596-0602.Contact Information
Primary practice address
820 E. Front
Tyler TX 75702-8326
Phone: (903) 596-0602
Fax: (903) 596-0620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K9034 | Texas |
Profile Details
| NPI number | 1740287838 |
|---|---|
| LBN Legal business name | Smith, Angela N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Oct 31st, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740287838 | NPPES |
| Georgia | Other | 80173828 | RAILROAD MEDICARE |
| Georgia | Other | 0094GC | RAILROAD MEDICARE |
| Georgia | MEDICAID | 03106101 | RAILROAD MEDICARE |
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