Smith, Angela N

Smith, Angela N is an sole proprietor health care provider with primary practice located at 820 E. Front , Tyler TX 75702-8326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Smith, Angela N can be contacted via phone (903) 596-0602.

Contact Information

Primary practice address
820 E. Front Tyler TX 75702-8326
Phone: (903) 596-0602
Fax: (903) 596-0620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K9034 Texas

Profile Details

NPI number 1740287838
LBN Legal business name Smith, Angela N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Oct 31st, 2011 - about 13 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 1740287838 NPPES
Georgia Other 80173828 RAILROAD MEDICARE
Georgia Other 0094GC RAILROAD MEDICARE
Georgia MEDICAID 03106101 RAILROAD MEDICARE

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