Smith, Robert Wayne
Smith, Robert Wayne is an individual health care provider with primary practice located at 2608 Mcdonald Rd Ste 100, Tyler TX 75701-5934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Smith, Robert Wayne can be contacted via phone (903) 595-5514.Contact Information
Primary practice address
2608 Mcdonald Rd Ste 100
Tyler TX 75701-5934
Phone: (903) 595-5514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | J7380 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | J7380 | Texas |
Profile Details
| NPI number | 1598750739 |
|---|---|
| LBN Legal business name | Smith, Robert Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Apr 26th, 2017 - about 9 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 | 1598750739 | NPPES |
| Texas | MEDICAID | 045056102 | |
| Texas | Other | 045056102 | |
| Texas | Other | 7751083 | |
| Texas | Other | 8C0850 |
Popular Providers
-
Kummerfeld, Kenneth Brent
703 S Fleishel Ave Ste 4000 , Tyler TX 75701-2015 -
Jackman, John Daniel
619 S Fleishel Ave Suite 101, Tyler TX 75701-2004 -
Navetta, Frank Isidore
619 S Fleishel Ave Suite 101, Tyler TX 75701-2004 -
Powell, William R.
910 E Houston St , Tyler TX 75702-8369 -
Davis, Brent O'Bryan
619 S Fleishel Ave Suite 101, Tyler TX 75701-2004 -
Tolleson, Thaddeus Rex
619 S Fleishel Ave Suite 101, Tyler TX 75701-2004 -
Freeberg, Sheldon Ygnacio
703 S Fleishel Ave Suite 4000, Tyler TX 75701-2015 -
Carr, Jeffrey G
1783 Troup Hwy , Tyler TX 75701-5869