Smith, Marcus Darnell
Smith, Marcus Darnell is an sole proprietor health care provider with primary practice located at 17201 I H 45 S , Shenandoah TX 77385-3311. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Smith, Marcus Darnell can be contacted via phone (936) 270-2099.Contact Information
Primary practice address
17201 I H 45 S
Shenandoah TX 77385-3311
Phone: (936) 270-2099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M0278 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M0278 | Texas |
Profile Details
| NPI number | 1265438519 |
|---|---|
| LBN Legal business name | Smith, Marcus Darnell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Aug 16th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265438519 | NPPES |
| Other | 854652 | BCBS | |
| MEDICAID | 170716803 | BCBS |
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