Smith, Gregory A.
Smith, Gregory A. is an individual health care provider with primary practice located at 2955 Harrison St Suite 301, Beaumont TX 77702-1154. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Smith, Gregory A. can be contacted via phone (409) 923-1650.Contact Information
Primary practice address
2955 Harrison St Suite 301
Beaumont TX 77702-1154
Phone: (409) 923-1650
Fax: (409) 923-1651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 559394 | Texas |
Profile Details
| NPI number | 1245204890 |
|---|---|
| LBN Legal business name | Smith, Gregory A. |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Sep 2nd, 2014 - about 10 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 | 1245204890 | NPPES |
| Texas | MEDICAID | 179210302 |
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