Smith, Donald Ray
Smith, Donald Ray is an individual health care provider with primary practice located at 2533 Cumberland Trl , Balch Springs TX 75181-2164. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Donald Ray can be contacted via phone (850) 393-1181.Contact Information
Primary practice address
2533 Cumberland Trl
Balch Springs TX 75181-2164
Phone: (850) 393-1181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 332886 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9105176 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA08849 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-2644 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4212-23 | Wisconsin |
Profile Details
| NPI number | 1548594542 |
|---|---|
| LBN Legal business name | Smith, Donald Ray |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2009 |
| Last updated | Nov 22nd, 2023 - about 3 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 | 1548594542 | NPPES |
| Florida | MEDICAID | 001640200 | |
| Florida | Other | CR580Z |
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