Smith, Mark Christopher
Smith, Mark Christopher is an individual health care provider with primary practice located at 3621 22Nd St Ste 400 , Lubbock TX 79410-1302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Smith, Mark Christopher can be contacted via phone (809) 794-8484.Contact Information
Primary practice address
3621 22Nd St Ste 400
Lubbock TX 79410-1302
Phone: (809) 794-8484
Fax: (806) 794-8498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP126468 | Texas |
Profile Details
| NPI number | 1912309238 |
|---|---|
| LBN Legal business name | Smith, Mark Christopher |
| Credentials | MSN, RN, AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2014 |
| Last updated | Dec 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912309238 | NPPES |
| New Mexico | MEDICAID | 38225069 | |
| New Mexico | Other | 8383NS |
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