Smitherman, Tony Bryan

Smitherman, Tony Bryan is an individual health care provider with primary practice located at 301 Utica Ave , Lubbock TX 79416-3111. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smitherman, Tony Bryan can be contacted via phone (806) 797-4985.

Contact Information

Primary practice address
301 Utica Ave Lubbock TX 79416-3111
Phone: (806) 797-4985
Fax: (806) 792-8588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J4530 Texas

Profile Details

NPI number 1578567186
LBN Legal business name Smitherman, Tony Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Feb 4th, 2022 - about 2 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 1578567186 NPPES
Texas MEDICAID 045228601
Texas Other 200029206

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