Smith, Ellawese Yvonne
Smith, Ellawese Yvonne is an sole proprietor health care provider with primary practice located at 1721 Analog Dr , Richardson TX 75081-1944. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Smith, Ellawese Yvonne can be contacted via phone (972) 276-6100.Contact Information
Primary practice address
1721 Analog Dr
Richardson TX 75081-1944
Phone: (972) 276-6100
Fax: (972) 276-1231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | J1485 | Texas |
Profile Details
| NPI number | 1538228622 |
|---|---|
| LBN Legal business name | Smith, Ellawese Yvonne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jan 3rd, 2020 - about 6 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 | 1538228622 | NPPES |
| Texas | Other | 8P2162 | BCBS |
| Texas | Other | 0075HS | BCBS |
| Texas | MEDICAID | 131205010 | BCBS |
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