Smith, Ellen Blair

Smith, Ellen Blair is an individual health care provider with primary practice located at 901 W 38Th St Suite 200, Austin TX 78705-1165. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Smith, Ellen Blair can be contacted via phone (512) 419-9733.

Contact Information

Primary practice address
901 W 38Th St Suite 200 Austin TX 78705-1165
Phone: (512) 419-9733
Fax: (512) 451-3709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X F0313 Texas

Profile Details

NPI number 1558305490
LBN Legal business name Smith, Ellen Blair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 15th, 2015 - about 11 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 1558305490 NPPES
Texas MEDICAID 128726003
Texas Other 8BP361
Texas MEDICAID 128726006
Texas MEDICAID 128726007
Texas MEDICAID 0811853-01
Texas Other 830004600

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