Smith, Eric Bryan

Smith, Eric Bryan is an individual health care provider with primary practice located at 3417 Gaston Ave Ste 830, Dallas TX 75246-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Smith, Eric Bryan can be contacted via phone (214) 826-6235.

Contact Information

Primary practice address
3417 Gaston Ave Ste 830 Dallas TX 75246-1800
Fax: (214) 828-4633
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X M3741 Texas

Profile Details

NPI number 1033138102
LBN Legal business name Smith, Eric Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 7th, 2017 - about 8 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 1033138102 NPPES
Texas MEDICAID 187108601
Texas Other P00476750

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