Smolarz, Gregory J
Smolarz, Gregory J is an individual health care provider with primary practice located at 2602 Saint Michael Dr Ste 400 , Texarkana TX 75503-5224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Smolarz, Gregory J can be contacted via phone (903) 614-5670.Contact Information
Primary practice address
2602 Saint Michael Dr Ste 400
Texarkana TX 75503-5224
Phone: (903) 614-5670
Fax: (903) 614-5674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | R3725 | Arkansas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G0143 | Texas |
Profile Details
| NPI number | 1386644953 |
|---|---|
| LBN Legal business name | Smolarz, Gregory J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jun 23rd, 2021 - about 4 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 | 1386644953 | NPPES |
| Arkansas | MEDICAID | 103428001 | |
| Arkansas | MEDICAID | 100145390A | |
| Arkansas | MEDICAID | 122489104 | |
| Arkansas | Other | 83204 |
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