Smith, Michael Clark
Smith, Michael Clark is an individual health care provider with primary practice located at 601 S Main St Ste 110 , Keller TX 76248-7027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Smith, Michael Clark can be contacted via phone (817) 857-6693.Contact Information
Primary practice address
601 S Main St Ste 110
Keller TX 76248-7027
Phone: (817) 857-6693
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | K7900 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | K7900 | Texas |
Profile Details
| NPI number | 1689664567 |
|---|---|
| LBN Legal business name | Smith, Michael Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Nov 1st, 2019 - about 5 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 | 1689664567 | NPPES |
| Texas | MEDICAID | 047503001 |
Popular Providers
-
Dismond, Samuel
436 14Th St Ste 1529 , Oakland CA 94612-2703 -
Perez-Montes, Marcelo R.
100 Ironcreek Pl , Apex NC 27539-7772 -
Hsieh, Stanley H.Y.
1402 Andrea St , Bowling Green KY 42104-3336 -
Mooreville, Ruth S.
110 West Lancaster Avenue, Suite 200 , Wayne PA 19087-4061 -
Kauffman, Stephen C
3450 N Beauregard St Ste 1, Alexandria VA 22302-1200 -
Ourian, Babak
9025 Wilshire Blvd Ste 207, Beverly Hills CA 90211-1825 -
Russell, Allen J
32401 8 Mile Rd , Livonia MI 48152-1301 -
Munoz De Laborde, Ines Bardin
1212 S Main St , Salinas CA 93901-2260