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Organization
JEREMY SMITH MD PA
Active
Organization
JEREMY SMITH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY SCOTT SMITH MD (OWNER)
(936) 645-6008
Entity
Organization
Contact information
Practice address
1320 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4269
(936) 559-9225
(936) 559-7911
Mailing address
1320 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4269
(936) 559-9225
(936) 559-7911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M0573
TX
Other
Enumeration date
03/22/2010
Last updated
10/28/2014
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