Smith, Marcus Andrew

Smith, Marcus Andrew is an individual health care provider with primary practice located at 2602 Saint Michael Dr Ste 302B , Texarkana TX 75503-5228. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Smith, Marcus Andrew can be contacted via phone (903) 794-4196.

Contact Information

Primary practice address
2602 Saint Michael Dr Ste 302B Texarkana TX 75503-5228
Phone: (903) 794-4196
Fax: (903) 614-5190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X N1153 Texas
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X N1153 Texas

Profile Details

NPI number 1093929150
LBN Legal business name Smith, Marcus Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated May 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093929150 NPPES
Other 1871793307 CIGNA DME#
MEDICAID 200258160A CIGNA DME#
Other MDN1153 CIGNA DME#
Other P00738165 CIGNA DME#
Other 1093929150 CIGNA DME#
Other 1093929150 CIGNA DME#
Other 85751 CIGNA DME#
MEDICAID 178049001 CIGNA DME#
Other P02599421 CIGNA DME#
Other 1G2371 CIGNA DME#
Other 8L14510 CIGNA DME#
Other 179117500 CIGNA DME#
Other 1093929150 CIGNA DME#
MEDICAID 203880401 CIGNA DME#

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