Smoot, Teresa Diane

Smoot, Teresa Diane is an individual health care provider with primary practice located at 2403 Russell Long Blvd , Canyon TX 79016-0005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smoot, Teresa Diane can be contacted via phone (806) 651-4100.

Contact Information

Primary practice address
2403 Russell Long Blvd Canyon TX 79016-0005
Phone: (806) 651-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP137113 Texas

Profile Details

NPI number 1215433941
LBN Legal business name Smoot, Teresa Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2018
Last updated Apr 2nd, 2018 - about 8 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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