Smith, Thomas Edwin

Smith, Thomas Edwin is an sole proprietor health care provider with primary practice located at 200 Canyon Creek Dr , Amarillo TX 79118-3830. He recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smith, Thomas Edwin can be contacted via phone (806) 622-5092.

Contact Information

Primary practice address
200 Canyon Creek Dr Amarillo TX 79118-3830
Phone: (806) 622-5092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X K7902 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K7902 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K7902 Texas

Profile Details

NPI number 1770533168
LBN Legal business name Smith, Thomas Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Oct 9th, 2008 - 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 1770533168 NPPES
Texas Other 8W0362 BLUE SHIELD
Texas MEDICAID 144143803 BLUE SHIELD
Texas MEDICAID 144143805 BLUE SHIELD

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