Jeffrey P. Smith in Tyler - Pediatrics

Jeffrey P. Smith - NPI 1760578835

Jeffrey P. Smith is a Pediatrics in Tyler, Texas. Jeffrey P. Smith practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jeffrey P. Smith is 1760578835. The last update date is 2022-10-05.

Jeffrey P. Smith's current location address is 523 S Fannin Ave, Tyler, Texas. You can contact this provider via phone number 9035359041. The mailing address for Jeffrey P. Smith is 523 S Fannin Ave, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey P. Smith
Address 523 S Fannin Ave, Tyler, Texas
Phone Number 9035359041
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1760578835
Provider Enumeration Date 2006-10-05
Last Updated Date 2022-10-05

Provider Mailing Address Detail

Address 523 S Fannin Ave
City Tyler
State Texas (TX)
Post Code 757028204
Phone Number 9035359041
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No J4527
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0026MA TX GROUP BC/BS
169940701 TX GROUP MEDICAID
45D1034142 TX CLIA
J4527 TX MEDICAL LICENSE
118586004 TX --
8R1210 TX BLUE CROSS BLUE SHIELD
00850X TX GROUP MEDICARE

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FAQs about Jeffrey P. Smith

What is the unique 10-digit identification code issued to Jeffrey P. Smith by the Centers for Medicare & Medicaid Services?

The Jeffrey P. Smith has been assigned the NPI (National Provider Identifier) 1760578835 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Jeffrey P. Smith is located?

The Jeffrey P. Smith is situated at the following address: 523 S Fannin Ave, Tyler, TX, 757028204.

What is the area of specialization for Jeffrey P. Smith, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeffrey P. Smith is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did the Jeffrey P. Smith receive the assignment of its 1760578835 from the Centers for Medicare & Medicaid Services?

The Jeffrey P. Smith was issued its 1760578835 by the Centers for Medicare & Medicaid Services on 2006-10-05.

When was the Jeffrey P. Smith's information last updated?

The Jeffrey P. Smith's information was last updated on 2022-10-05.

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