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Individual
NANCY L. SMITH
Active
Individual
NANCY L. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179692201
—
TX
05
—
179692202
—
TX
05
—
179692203
—
TX
05
—
179692204
—
TX
01
—
8M7900
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/01/2005
Last updated
09/04/2009
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