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Individual
DR. THOMAS EDWIN SMITH
Active
Individual
DR. THOMAS EDWIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
K7902
TX
207P00000X
Emergency Medicine Physician
K7902
TX
207Q00000X
Family Medicine Physician
Primary
K7902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144143803
—
TX
05
—
144143805
—
TX
01
—
8W0362
BLUE SHIELD
TX
Enumeration date
05/10/2006
Last updated
10/09/2008
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