Organization
CHARLENE SMITH MD PA
Active
Other names
Livingston Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLENE SMITH M.D. (PRESIDENT)
(936) 327-3937
Entity
Organization
Contact information
Practice address
410 E CHURCH ST, SUITE A, LIVINGSTON, TX 77351-2966
(936) 327-3937
Mailing address
410 E CHURCH ST, SUITE A, LIVINGSTON, TX 77351-2966
(936) 327-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G3795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192974701
—
TX
Enumeration date
06/20/2008
Last updated
05/19/2010
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