Smith, Eric R

Smith, Eric R is an individual health care provider with primary practice located at 3802 Manhatton , Tyler TX 75701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Eric R can be contacted via phone (903) 509-8888.

Contact Information

Primary practice address
3802 Manhatton Tyler TX 75701
Phone: (903) 509-8888
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G3796 Texas

Profile Details

NPI number 1033184312
LBN Legal business name Smith, Eric R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Oct 14th, 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 1033184312 NPPES
Texas MEDICAID 117679402

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