Ernest Clyde Smoot in Lake Charles - Plastic And Reconstructive Surgery
Ernest Clyde Smoot - NPI 1790756039
Ernest Clyde Smoot is a Plastic And Reconstructive Surgery in Lake Charles, Louisiana. Ernest Clyde Smoot practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Ernest Clyde Smoot is 1790756039. The last update date is 2011-09-27.
Ernest Clyde Smoot's current location address is 4150 Nelson Rd, Lake Charles, Louisiana. You can contact this provider via phone number 3374785577 and fax number 3374785588. The mailing address for Ernest Clyde Smoot is 4150 Nelson Rd, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ernest Clyde Smoot |
|---|---|
| Address | 4150 Nelson Rd, Lake Charles, Louisiana |
| Phone Number | 3374785577 |
| Fax Number | 3374785588 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790756039 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2011-09-27 |
Provider Mailing Address Detail
| Address | 4150 Nelson Rd |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706054148 |
| Phone Number | 3374785577 |
| Fax Number | 3374785588 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 12854R |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1978671 | LA | -- |
Post Comment/ Review Below
What is the Ernest Clyde Smoot's unique identification number?
The Ernest Clyde Smoot has been assigned the NPI (National Provider Identifier) Number 1790756039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Ernest Clyde Smoot is physically located?
The Ernest Clyde Smoot is situated at the following address: 4150 Nelson Rd, Lake Charles, LA 706054148.
What is the Ernest Clyde Smoot's specialty and taxonomy code?
The Ernest Clyde Smoot's specialty is Plastic And Reconstructive Surgery, and the corresponding taxonomy code is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790756039 to Ernest Clyde Smoot?
The Ernest Clyde Smoot received its 1790756039 assignment from the Centers for Medicare & Medicaid Services on 2006-01-26.
As of what date were the details pertaining to Ernest Clyde Smoot last refreshed?
The information related to the Ernest Clyde Smoot, including its address, specialty, and other relevant details, was last updated on 2011-09-27.