Individual
MR. GREGORY J SMOLARZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2602 SAINT MICHAEL DR STE 400, TEXARKANA, TX 75503-5224
(903) 614-5670
(903) 614-5674
Mailing address
919 HIDDEN RIDGE, IRVING, TX 75038
(469) 282-2713
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G0143
TX
207X00000X
Orthopaedic Surgery Physician
R3725
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100145390A
—
OK
05
—
103428001
—
AR
05
—
122489104
—
TX
01
—
83204
BCBS
AR
Enumeration date
07/26/2005
Last updated
06/23/2021
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