Individual
ERIC NATHAN SMERNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
6333 FOREST PARK RD STE BLA .110, DALLAS, TX 75235-5461
(214) 648-4646
(214) 645-3775
Mailing address
6333 FOREST PARK RD STE BLA .110, DALLAS, TX 75235-5461
(214) 648-4646
(214) 645-3775
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
32281
TX
2084N0600X
Clinical Neurophysiology Physician
32281
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649311-01
—
TX
01
—
86847A
BCBS
TX
Enumeration date
03/24/2006
Last updated
07/21/2022
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