Smith, Evans Swann
Smith, Evans Swann is an individual health care provider with primary practice located at 833 S Beckham Ave , Tyler TX 75701-1905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Smith, Evans Swann can be contacted via phone (903) 526-4325.Contact Information
Primary practice address
833 S Beckham Ave
Tyler TX 75701-1905
Phone: (903) 526-4325
Fax: (903) 526-2871
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L0609 | Texas |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | L0609 | Texas |
Profile Details
NPI number | 1871578989 |
---|---|
LBN Legal business name | Smith, Evans Swann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 12th, 2005 |
Last updated | Jun 30th, 2008 - about 16 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 | 1871578989 | NPPES |
Texas | MEDICAID | 030687001 |
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