Smith, Michael Timothy

Smith, Michael Timothy is an individual health care provider with primary practice located at 3600 Gaston Ave Ste 261 , Dallas TX 75246-1902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Smith, Michael Timothy can be contacted via phone (972) 966-7830.

Contact Information

Primary practice address
3600 Gaston Ave Ste 261 Dallas TX 75246-1902
Phone: (972) 966-7830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 16878 South Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X U0660 Texas

Profile Details

NPI number 1831113760
LBN Legal business name Smith, Michael Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 18th, 2024 - about 2 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 1831113760 NPPES
South Carolina MEDICAID G31326

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