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Organization
MYMD SELECT
Active
Organization
MYMD SELECT
Active
Other names
Jeremy S. Smith, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY SCOTT SMITH MD (OWNER)
(936) 205-9922
Entity
Organization
Contact information
Practice address
3614 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2539
(936) 205-9922
Mailing address
3614 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2539
(936) 205-9922
(936) 205-9923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M0573
TX
Other
Enumeration date
09/18/2014
Last updated
02/12/2015
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