Smith, Marcy Louise
Smith, Marcy Louise is an individual health care provider with primary practice located at 1301 W 38Th St Suite 400, Austin TX 78705-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Marcy Louise can be contacted via phone (512) 324-3440.Contact Information
Primary practice address
1301 W 38Th St Suite 400
Austin TX 78705-1000
Phone: (512) 324-3440
Fax: (512) 406-6513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 734860 | Texas |
Profile Details
| NPI number | 1629093067 |
|---|---|
| LBN Legal business name | Smith, Marcy Louise |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jan 20th, 2015 - about 9 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 | 1629093067 | NPPES |
| Texas | Other | 8780NK | BCBS |
| Texas | Other | 8099NM | BCBS |
| Texas | MEDICAID | 185066103 | BCBS |
| Texas | MEDICAID | 185066104 | BCBS |
| Texas | MEDICAID | 185066101 | BCBS |
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