Smirnova, Olga

Smirnova, Olga is an individual health care provider with primary practice located at 1600 Wallace Blvd , Amarillo TX 79106-1799. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Smirnova, Olga can be contacted via phone (806) 212-2129.

Contact Information

Primary practice address
1600 Wallace Blvd Amarillo TX 79106-1799
Fax: (806) 212-2246
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L9913 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X L9913 Texas

Profile Details

NPI number 1972545226
LBN Legal business name Smirnova, Olga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972545226 NPPES
Texas MEDICAID 171571603

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