Individual
DR. TODD P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 S FLEISHEL AVE, STE 203, TYLER, TX 75701-2004
(903) 525-1400
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
K4333
TX
2086S0129X
Vascular Surgery Physician
Primary
K4333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123912
SUPERIOR CHIPS
TX
05
—
165577101
—
TX
01
—
7254364
AETNA
TX
01
—
752616977021
TRICARE
TX
01
—
8B4096
BCBS OF TEXAS
TX
Enumeration date
02/21/2006
Last updated
03/31/2026
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