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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710985940 | NPPES |
Texas | MEDICAID | 104410902 | |
Texas | Other | 3397737 | |
Texas | Other | 826203416 |
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