Maryellen Warro Smith in Tyler - Physician Assistant
Maryellen Warro Smith - NPI 1275648834
Maryellen Warro Smith is a Physician Assistant in Tyler, Texas. Maryellen Warro Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Maryellen Warro Smith is 1275648834. The last update date is 2018-02-28.
Maryellen Warro Smith's current location address is 1905 S Donnybrook Ave, Tyler, Texas. You can contact this provider via phone number 9035973140 and fax number 9035955693. The mailing address for Maryellen Warro Smith is 1905 S Donnybrook Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Maryellen Warro Smith |
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Address | 1905 S Donnybrook Ave, Tyler, Texas |
Phone Number | 9035973140 |
Fax Number | 9035955693 |
Sole Proprietor | N |
Credentials | P.A. |
NPI Number Detail
NPI Number | 1275648834 |
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Provider Enumeration Date | 2006-08-21 |
Last Updated Date | 2018-02-28 |
Provider Mailing Address Detail
Address | 1905 S Donnybrook Ave |
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City | Tyler |
State | Texas (TX) |
Post Code | 757014236 |
Phone Number | 9035973140 |
Fax Number | 9035955693 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA04930 |
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 |
---|---|---|---|
75-2616977-001 | TX | TRICARE | |
8544ND | TX | BCBS | |
75-1976930-005 | TX | TRICARE | |
75-2616977-028 | TX | TRICARE | |
8547ND | TX | BCBS | |
337319301 | TX | -- | |
75-0818167-048 | TX | TRICARE | |
75-0818167-044 | TX | TRICARE | |
75-0818167-015 | TX | TRICARE | |
75-0818167-022 | TX | TRICARE |
Post Comment/ Review Below
Could you please share the complete physical location address where Maryellen Warro Smith's facilities are situated?
The facilities of Maryellen Warro Smith are physically located at the following address: 1905 S Donnybrook Ave, Tyler, TX, 757014236.
What is Maryellen Warro Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maryellen Warro Smith's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
What is Maryellen Warro Smith's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Maryellen Warro Smith is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1275648834 assigned to Maryellen Warro Smith?
The Maryellen Warro Smith was issued its 1275648834 on 2006-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Maryellen Warro Smith most recently updated?
The details pertaining to the Maryellen Warro Smith, including its address, specialty, and other relevant information, were last refreshed on 2018-02-28.
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