Smith, Archie Dan

Smith, Archie Dan is an individual health care provider with primary practice located at 1215 Red River , Austin TX 78701-1921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Smith, Archie Dan can be contacted via phone (512) 479-3526.

Contact Information

Primary practice address
1215 Red River Austin TX 78701-1921
Phone: (512) 479-3526
Fax: (512) 474-2720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X E8916 Texas

Profile Details

NPI number 1396887691
LBN Legal business name Smith, Archie Dan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Oct 10th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396887691 NPPES
Other E8916 COMMERCIAL - LICENSE
Other 000B56J COMMERCIAL - LICENSE

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