Smith, Heather Dawn
Smith, Heather Dawn is an individual health care provider with primary practice located at 3120 Matlock Rd Ste 201 , Arlington TX 76015-2903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Heather Dawn can be contacted via phone (817) 467-0889.Contact Information
Primary practice address
3120 Matlock Rd Ste 201
Arlington TX 76015-2903
Phone: (817) 467-0889
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Q4502 | Texas |
Profile Details
| NPI number | 1336109073 |
|---|---|
| LBN Legal business name | Smith, Heather Dawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Jan 4th, 2021 - about 4 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 | 1336109073 | NPPES |
| Mississippi | MEDICAID | 02228582 | |
| Mississippi | MEDICAID | 631403140 |
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