Individual
DR. CLINTON CHARLES SMITHSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4262
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
BP10050385
TX
207P00000X
Emergency Medicine Physician
Primary
Q5722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362583206
—
TX
05
—
362583207
—
TX
01
—
525037YS6P
MEDICARE
TX
01
—
525037YS6V
MEDICARE
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-0818167-044
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-0818167-051
TRICARE
TX
01
—
75-1976930-005
TRICARE
TX
01
—
BP10050385
PHYSICIAN IN TRAINING PERMIT NUMBER
TX
01
—
P01855287
MEDICARE RAIL ROAD
TX
01
—
P01855291
MCRR
TX
Enumeration date
05/12/2014
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us