Smith, Edward W

Smith, Edward W is an sole proprietor health care provider with primary practice located at 800 Mountain Ter , Hurst TX 76053-4210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Smith, Edward W can be contacted via phone (682) 626-5488.

Contact Information

Primary practice address
800 Mountain Ter Hurst TX 76053-4210
Phone: (682) 626-5488
Fax: (817) 665-2974
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X E1757 Texas

Profile Details

NPI number 1710985940
LBN Legal business name Smith, Edward W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Sep 16th, 2014 - about 11 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 1710985940 NPPES
Texas MEDICAID 104410902
Texas Other 3397737
Texas Other 826203416

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