Smith, Nancy L.

Smith, Nancy L. is an individual health care provider with primary practice located at 3310 Live Oak St Youth & Family Center, Dallas TX 75204-6153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Nancy L. can be contacted via phone (214) 266-1257.

Contact Information

Primary practice address
3310 Live Oak St Youth & Family Center Dallas TX 75204-6153
Phone: (214) 266-1257
Fax: (214) 266-1258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00312 Texas

Profile Details

NPI number 1841290848
LBN Legal business name Smith, Nancy L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Sep 4th, 2009 - about 17 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 1841290848 NPPES
Texas MEDICAID 179692202
Texas MEDICAID 179692203
Texas Other 8M7900
Texas MEDICAID 179692204
Texas MEDICAID 179692201

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