Cannon-Smith, Tracy L
Cannon-Smith, Tracy L is an individual health care provider with primary practice located at 5005 S Cooper St Ste 250 , Arlington TX 76017. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Cannon-Smith, Tracy L can be contacted via phone (866) 367-8768.Contact Information
Primary practice address
5005 S Cooper St Ste 250
Arlington TX 76017
Phone: (866) 367-8768
Fax: (817) 541-9540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 2088F0040X | M1559 | Texas |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | M1559 | Texas |
Profile Details
| NPI number | 1942297569 |
|---|---|
| LBN Legal business name | Cannon-Smith, Tracy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jul 16th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942297569 | NPPES |
| Texas | MEDICAID | 176139701 | |
| Texas | MEDICAID | 176139703 | |
| Texas | MEDICAID | 176139705 | |
| Texas | Other | 176139706 | |
| Texas | MEDICAID | 176139707 |
Popular Providers
-
Brody, Gordon S
811 W Interstate 20 Suite G22, Arlington TX 76017-5870 -
Shepherd, David L
801 W I 20 Ste 1 , Arlington TX 76017-5851 -
Ellis, David S
801 W I-20 Ste 1, Arlington TX 76017-5851 -
Vestal, James C
5005 S Cooper St Ste 250 , Arlington TX 76017-5996 -
Price, V Gary
811 W Interstate 20 Suite G22, Arlington TX 76017-5870 -
Lee, Justin T
5005 S Cooper St Ste 250 , Arlington TX 76017-5996 -
Neal, Durwood Earnest
1050 W Arkansas Ln # 150 , Arlington TX 76013-6308 -
Chuang, Weber W
5005 S Cooper St Ste 250 , Arlington TX 76017