Smith, Gregory Heath
Smith, Gregory Heath is an individual health care provider with primary practice located at 800 5Th Ave Ste 500 , Fort Worth TX 76104-7304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Smith, Gregory Heath can be contacted via phone (817) 250-4280.Contact Information
Primary practice address
800 5Th Ave Ste 500
Fort Worth TX 76104-7304
Phone: (817) 250-4280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | J3905 | Texas |
Profile Details
| NPI number | 1871533752 |
|---|---|
| LBN Legal business name | Smith, Gregory Heath |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Feb 21st, 2022 - about 4 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 | 1871533752 | NPPES |
| Texas | MEDICAID | 130841309 | |
| Texas | MEDICAID | 130841307 |
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