Smith, Derek Miles
Smith, Derek Miles is an individual health care provider with primary practice located at 4780 N Josey Ln , Carrollton TX 75010-4615. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Smith, Derek Miles can be contacted via phone (972) 492-1334.Contact Information
Primary practice address
4780 N Josey Ln
Carrollton TX 75010-4615
Phone: (972) 492-1334
Fax: (972) 492-5174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1140028 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 1140028 | Texas |
Profile Details
| NPI number | 1083703490 |
|---|---|
| LBN Legal business name | Smith, Derek Miles |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | May 22nd, 2013 - about 12 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 | 1083703490 | NPPES |
| Texas | Other | 8D5829 | MEDICARE PART B - PRIOR TO 2/1/11 |
| Texas | Other | 8T3800 | MEDICARE PART B - PRIOR TO 2/1/11 |
| Texas | Other | P00954365 | MEDICARE PART B - PRIOR TO 2/1/11 |
| Texas | Other | TXB121221 | MEDICARE PART B - PRIOR TO 2/1/11 |
| Texas | Other | 854T69 | MEDICARE PART B - PRIOR TO 2/1/11 |
Popular Providers
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