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Individual

CHERYL E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3280 JOE BATTLE BLVD, EL PASO, TX 79938-2622
(915) 832-2171
Mailing address
PO BOX 952270, DALLAS, TX 75395-0001
(972) 715-5000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
50008
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
581155
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265415319
BCBS
NM
05
180689502
TX
05
180689503
TX
05
2330101
TX
01
80722H
BC/BS
TX
01
89985U
BCBS
TX
Enumeration date
11/22/2005
Last updated
09/21/2011
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