Nichole M Smith in Round Rock - Physician Assistant

Nichole M Smith - NPI 1053444679

Nichole M Smith is a Physician Assistant in Round Rock, Texas. Nichole M Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nichole M Smith is 1053444679. The last update date is 2007-07-08.

Nichole M Smith's current location address is 7200 Wyoming Spgs, Round Rock, Texas. You can contact this provider via phone number 5122441995 and fax number 5122442090. The mailing address for Nichole M Smith is 7200 Wyoming Spgs, Round Rock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Nichole M Smith
Address 7200 Wyoming Spgs, Round Rock, Texas
Phone Number 5122441995
Fax Number 5122442090
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1053444679
Provider Enumeration Date 2007-03-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7200 Wyoming Spgs
City Round Rock
State Texas (TX)
Post Code 786814303
Phone Number 5122441995
Fax Number 5122442090

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA02319
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA02319 TX STATE LICENSE NUMBER

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FAQs about Nichole M Smith

What is the unique 10-digit identifier code assigned to Nichole M Smith by the Centers for Medicare & Medicaid Services?

The Nichole M Smith has been issued the NPI (National Provider Identifier) 1053444679 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Nichole M Smith is located?

The Nichole M Smith is situated at the following address: 7200 Wyoming Spgs, Round Rock, TX, 786814303.

What is Nichole M Smith's specialized field of practice, and what is the corresponding taxonomy classification code?

The Nichole M Smith's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did Nichole M Smith receive its 1053444679 assignment from the Centers for Medicare & Medicaid Services?

The Nichole M Smith was assigned its 1053444679 on 2007-03-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Nichole M Smith, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Nichole M Smith, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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