Smith, Eric Wayne
Smith, Eric Wayne is an individual health care provider with primary practice located at 1301 S Coulter St Suite 200, Amarillo TX 79106-7910. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Smith, Eric Wayne can be contacted via phone (806) 340-0550.Contact Information
Primary practice address
1301 S Coulter St Suite 200
Amarillo TX 79106-7910
Phone: (806) 340-0550
Fax: (806) 513-6790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP144510 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP144510 | Texas |
Profile Details
| NPI number | 1265046932 |
|---|---|
| LBN Legal business name | Smith, Eric Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2020 |
| Last updated | Nov 11th, 2021 - about 3 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 | 1265046932 | NPPES |
| Texas | Other | 1Q4045 | PTAN |
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