Smith, Donald L

Smith, Donald L is an individual health care provider with primary practice located at 855 Montgomery St Dept Of Ob/Gyn, Fort Worth TX 76107-2553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Smith, Donald L can be contacted via phone (817) 920-6570.

Contact Information

Primary practice address
855 Montgomery St Dept Of Ob/Gyn Fort Worth TX 76107-2553
Phone: (817) 920-6570
Fax: (817) 920-6561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X D5210 Texas

Profile Details

NPI number 1427196682
LBN Legal business name Smith, Donald L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Sep 19th, 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 1427196682 NPPES
Texas Other 8AA714 BCBS
Texas Other P00600824 BCBS
Texas MEDICAID 100058003 BCBS

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