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:
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Health care specialties

SpecialtyCodeLicense #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 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 1245204890 NPPES
Texas MEDICAID 179210302

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