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Individual
DR. PAMELA K SMITH
Active
Individual
DR. PAMELA K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G5829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104109702
—
TX
01
—
110180216
RAILROAD MEDICARE
TX
01
—
84222K
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/02/2006
Last updated
07/15/2013
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