Smith, Todd P

Smith, Todd P is an individual health care provider with primary practice located at 619 S Fleishel Ave Ste 203, Tyler TX 75701-2004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Smith, Todd P can be contacted via phone (903) 525-1400.

Contact Information

Primary practice address
619 S Fleishel Ave Ste 203 Tyler TX 75701-2004
Phone: (903) 525-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X K4333 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X K4333 Texas

Profile Details

NPI number 1215902598
LBN Legal business name Smith, Todd P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Oct 14th, 2014 - about 11 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 1215902598 NPPES
Texas MEDICAID 165577101
Texas Other 123912
Texas Other 8B4096
Texas Other 7254364
Texas Other 752616977021

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