Smith, Robert Wayne

Smith, Robert Wayne is an individual health care provider with primary practice located at 2608 Mcdonald Rd Ste 100, Tyler TX 75701-5934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Smith, Robert Wayne can be contacted via phone (903) 595-5514.

Contact Information

Primary practice address
2608 Mcdonald Rd Ste 100 Tyler TX 75701-5934
Phone: (903) 595-5514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X J7380 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X J7380 Texas

Profile Details

NPI number 1598750739
LBN Legal business name Smith, Robert Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Apr 26th, 2017 - about 8 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 1598750739 NPPES
Texas MEDICAID 045056102
Texas Other 045056102
Texas Other 7751083
Texas Other 8C0850

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