Smith, David Earle

Smith, David Earle is an sole proprietor health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Smith, David Earle can be contacted via phone (903) 593-8441.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 79483 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X S3310 Texas

Profile Details

NPI number 1356753370
LBN Legal business name Smith, David Earle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2014
Last updated Nov 25th, 2019 - about 7 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 1356753370 NPPES
Texas MEDICAID 402923301
Texas Other 8LP688

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