Smith, David G
Smith, David G is an individual health care provider with primary practice located at 2345 50Th Managed Care Center , Lubbock TX 79412. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, David G can be contacted via phone (806) 780-8300.Contact Information
Primary practice address
2345 50Th Managed Care Center
Lubbock TX 79412
Phone: (806) 780-8300
Fax: (806) 780-8383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 10487 | Texas |
Profile Details
| NPI number | 1407189558 |
|---|---|
| LBN Legal business name | Smith, David G |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2009 |
| Last updated | Sep 8th, 2009 - about 17 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 | 1407189558 | NPPES |
| Texas | MEDICAID | 065363601 |
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