Smith, Susan A.

Smith, Susan A. is an individual health care provider with primary practice located at 8224 Park Ln Ste 130 Vickery Health Center, Dallas TX 75231-6021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Smith, Susan A. can be contacted via phone (214) 266-0266.

Contact Information

Primary practice address
8224 Park Ln Ste 130 Vickery Health Center Dallas TX 75231-6021
Phone: (214) 266-0266
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 522587 Texas

Profile Details

NPI number 1134285901
LBN Legal business name Smith, Susan A.
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 27th, 2009 - about 15 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 1134285901 NPPES
Texas MEDICAID 100483006
Texas MEDICAID 100483007
Texas MEDICAID 100483003
Texas MEDICAID 100483005
Texas MEDICAID 100483004
Texas Other 8Y9217

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