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Individual

DR. SUSAN SHARON SMITH

Active
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Individual

DR. SUSAN SHARON SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G3123
TX
207LP3000X
Pediatric Anesthesiology Physician
G3123
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110234506
—
TX
05
—
110234514
—
TX
01
—
8EH498
BCBS
TX
01
—
P01356088
RR
TX
Enumeration date
02/22/2007
Last updated
06/28/2018
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