Paul A Smith ANP

NPI 1083616080 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1083616080
Gender Male
Enumeration Date 08/10/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
128 N ELLIS ST
NEW BOSTON TX, 75570-2904, US
Phone (903) 628-1104
Fax (903) 628-0104
Business Location
5002 COWHORN CREEK RD
TEXARKANA TX, 75503-9766, US
Phone (903) 614-3000
Fax (903) 614-3525
Toxanomy
Taxonomy Code 363LF0000X
License State Arkansas
License Number A01143
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According to our database, Paul A Smith ANP NPI is 1083616080, taxonomy code is 363LF0000X and license number is A01143, license state is located at Arkansas. Paul A Smith ANP physically located at 128 N Ellis St, New Boston TX, 75570-2904. NPI Number Paul A Smith ANP has the Individual type.

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1083616080 NPI number is provided on an as is basis without warranty of any kind. 1083616080 is maintained by the National Plan & Provider Enumeration System. The contents of Paul A Smith ANP are for informational purposes only.