Smith, Grayson
Smith, Grayson is an individual health care provider with primary practice located at 1305 Wonder World Dr Ste 206, San Marcos TX 78666-7546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Grayson can be contacted via phone (512) 396-1525.Contact Information
Primary practice address
1305 Wonder World Dr Ste 206
San Marcos TX 78666-7546
Phone: (512) 396-1525
Fax: (512) 353-2530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | H2792 | Texas |
Profile Details
| NPI number | 1740224567 |
|---|---|
| LBN Legal business name | Smith, Grayson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Nov 19th, 2009 - about 15 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 | 1740224567 | NPPES |
| Texas | MEDICAID | 042439202 | |
| Texas | Other | 8R5960 |
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