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Smith Emergency Medicine Associates PA

Emergency Medicine in Tyler, TX. Organization (NPI-2).

NPI number1861426041
StatusActive
Last updated in NPPESJan 22, 2008

Details

NPI
1861426041
Entity type
Organization (NPI-2)
Legal business name
Smith Emergency Medicine Associates PA
Organization subpart
No
Enumeration date
Jul 11, 2006
Last updated
Jan 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes
363AM0700X Physician Assistant, Medical––
363L00000X Nurse Practitioner––

Practice location

6210 S Broadway Ave
Tyler, TX 75703-4413

Phone 800-893-9698

Mailing address

200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870

Phone 800-893-9698

Authorized official

Michael Pawlowski
Vice President
8008939698

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