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Individual
DR. TIMOTHY PAUL SMITH
Active
Individual
DR. TIMOTHY PAUL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MT193001
PA
207L00000X
Anesthesiology Physician
Primary
P2926
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302665003
—
TX
01
—
8EH378
BCBS
TX
01
—
P01446666
RR
TX
Enumeration date
07/23/2009
Last updated
06/28/2018
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