Individual
MATTHEW A. SMITH
Active
Individual
MATTHEW A. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
722182
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114011905
—
UT
05
—
147826100
—
TX
01
—
147826101
FIRSTCARE COMMERCIAL
TX
05
—
180263901
—
TX
05
—
200074480A
—
OK
01
—
202004760
PRESBYTERIAN COMMERCIAL
NM
05
—
202004760
—
NM
05
—
42324777
—
NM
05
—
67417
—
TX
01
—
86048U
HMO BLUE
TX
01
—
86049U
BC/BS
TX
Enumeration date
10/03/2006
Last updated
02/19/2009
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