Michael L. Smith in Longview - Physician Assistant

Michael L. Smith - NPI 1093751265

Michael L. Smith is a Physician Assistant in Longview, Texas. Michael L. Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael L. Smith is 1093751265. The last update date is 2011-04-25.

Michael L. Smith's current location address is 2010 Bill Owens Pkwy, Longview, Texas. You can contact this provider via phone number 9032473400 and fax number 9032389183. The mailing address for Michael L. Smith is 2010 Bill Owens Pkwy, Longview, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael L. Smith
Address 2010 Bill Owens Pkwy, Longview, Texas
Phone Number 9032473400
Fax Number 9032389183
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1093751265
Provider Enumeration Date 2006-06-22
Last Updated Date 2011-04-25

Provider Mailing Address Detail

Address 2010 Bill Owens Pkwy
City Longview
State Texas (TX)
Post Code 756046210
Phone Number 9032473400
Fax Number 9032389183

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA02652
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Michael L. Smith

What is the Michael L. Smith's unique identification number?

The Michael L. Smith has been assigned the NPI (National Provider Identifier) Number 1093751265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Michael L. Smith?

The Michael L. Smith is situated at 2010 Bill Owens Pkwy, in the city of Longview, state of TX, with the zip code 756046210.

What is the Michael L. Smith's specialty and taxonomy code?

The Michael L. Smith's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

When was the Michael L. Smith's 1093751265 issued?

The Michael L. Smith's 1093751265 was issued on 2006-06-22.

As of what date were the details related to Michael L. Smith most recently updated or revised?

The information pertaining to Michael L. Smith, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-25.

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