Smith, Debra Lynn
Smith, Debra Lynn is an individual health care provider with primary practice located at 608 Gateway Central Suite 100, Marble Falls TX 78654. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Smith, Debra Lynn can be contacted via phone (830) 693-2005.Contact Information
Primary practice address
608 Gateway Central Suite 100
Marble Falls TX 78654
Phone: (830) 693-2005
Fax: (830) 798-2006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1179 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA06460 | Texas |
Profile Details
| NPI number | 1790838266 |
|---|---|
| LBN Legal business name | Smith, Debra Lynn |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1790838266 | NPPES |
| Colorado | Other | 1179 | STATE LICENSE |
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