Smith, Charlene
Smith, Charlene is an sole proprietor health care provider with primary practice located at 1601 Highway 59 Loop N Ste 100 , Livingston TX 77351-6687. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Smith, Charlene can be contacted via phone (936) 327-3937.Contact Information
Primary practice address
1601 Highway 59 Loop N Ste 100
Livingston TX 77351-6687
Phone: (936) 327-3937
Fax: (936) 327-7847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G3795 | Texas |
Profile Details
| NPI number | 1902877780 |
|---|---|
| LBN Legal business name | Smith, Charlene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Mar 16th, 2021 - about 5 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 | 1902877780 | NPPES |
| Texas | MEDICAID | 132092107 |
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