Smith, Nathan E

Smith, Nathan E is an individual health care provider with primary practice located at 120 E Harris Ave , San Angelo TX 76903-5904. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Smith, Nathan E can be contacted via phone (325) 653-6741.

Contact Information

Primary practice address
120 E Harris Ave San Angelo TX 76903-5904
Phone: (325) 653-6741
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA02984 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02984 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA02984 Texas

Profile Details

NPI number 1104828185
LBN Legal business name Smith, Nathan E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 21st, 2013 - about 11 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 1104828185 NPPES
Texas MEDICAID 1104828185

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