Smith, Malcolm A

Smith, Malcolm A is an individual health care provider with primary practice located at 5002 Cowhorn Creek Rd , Texarkana TX 75503-9766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Smith, Malcolm A can be contacted via phone (903) 614-3000.

Contact Information

Primary practice address
5002 Cowhorn Creek Rd Texarkana TX 75503-9766
Phone: (903) 614-3000
Fax: (903) 614-3525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X K1682 Texas

Profile Details

NPI number 1174525174
LBN Legal business name Smith, Malcolm A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 3rd, 2018 - about 7 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 1174525174 NPPES
Texas MEDICAID 047200301
Texas MEDICAID 130482001

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