Individual
MR. MARCUS ANDREW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2602 SAINT MICHAEL DR STE 302B, TEXARKANA, TX 75503-5228
(903) 794-4196
(903) 614-5190
Mailing address
PO BOX 9600, DEPARTMENT 09-019, TEXARKANA, TX 75505-9600
(903) 794-4196
(903) 792-7408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
N1153
TX
207T00000X
Neurological Surgery Physician
Primary
N1153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093929150
QUALCHOICE
TX
01
—
1093929150
HUMANA MILITARY
—
05
—
178049001
—
AR
01
—
179117500
US DEPARTMENT OF LABOR
TX
01
—
1871793307
CIGNA DME#
—
01
—
1G2371
MEDICARE
TX
05
—
200258160A
—
OK
05
—
203880401
—
TX
01
—
85751
BLUE CROSS BLUE SHIELD OF ARKANSAS
AR
01
—
8L14510
INDIVIDUAL PTAN MEDICARE
TX
01
—
MDN1153
TEXAS WORKERS' COMPENSATION
TX
01
—
P00738165
RAILROAD MEDICARE
TX
01
—
P02599421
RR MCR
TX
Enumeration date
05/09/2007
Last updated
04/27/2026
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