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Individual
JEREMY RAY SMOLA
Active
Individual
JEREMY RAY SMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H8416
TX
207Q00000X
Family Medicine Physician
Primary
H8416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922053412
NPI
TX
Enumeration date
05/23/2006
Last updated
02/20/2017
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