Smith, Stephen Reilly
Smith, Stephen Reilly is an sole proprietor health care provider with primary practice located at 7200 N Mopac Expy Suite 200, Austin TX 78731-3069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Stephen Reilly can be contacted via phone (512) 241-1806.Contact Information
Primary practice address
7200 N Mopac Expy Suite 200
Austin TX 78731-3069
Phone: (512) 241-1806
Fax: (512) 623-7892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M4952 | Texas |
Profile Details
| NPI number | 1063402295 |
|---|---|
| LBN Legal business name | Smith, Stephen Reilly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Apr 12th, 2012 - about 14 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 | 1063402295 | NPPES |
| New Mexico | MEDICAID | 66385865 | |
| New Mexico | Other | P01010506 | |
| New Mexico | MEDICAID | 184558802 |
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