Smith, Martha
Smith, Martha is an individual health care provider with primary practice located at 3801 E Us Highway 377 Ste 100 , Granbury TX 76049-7620. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Martha can be contacted via phone (817) 573-1380.Contact Information
Primary practice address
3801 E Us Highway 377 Ste 100
Granbury TX 76049-7620
Phone: (817) 573-1380
Fax: (817) 573-1381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 913084 | Texas |
Profile Details
| NPI number | 1083716450 |
|---|---|
| LBN Legal business name | Smith, Martha |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Sep 13th, 2020 - 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 | 1083716450 | NPPES |
| Texas | MEDICAID | 365622501 |
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