Organization
TM SMITH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M SMITH M.D. (OWNER)
(318) 425-4096
Entity
Organization
Contact information
Practice address
1800 IRVING PL, SHREVEPORT, LA 71101-4608
(318) 425-4096
(318) 746-0160
Mailing address
PO BOX 1760, SHREVEPORT, LA 71166-1760
(318) 425-4096
(318) 746-0160
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04512R
LA
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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