Organization
ALBERT L SMITH, M. D.PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN ROSS SMITH (CLINIC SUPERVISOR)
(956) 689-5506
Entity
Organization
Contact information
Practice address
165 S 6TH ST, RAYMONDVILLE, TX 78580-3521
(956) 689-5506
(956) 689-1988
Mailing address
165 S 6TH ST, RAYMONDVILLE, TX 78580-3521
(956) 689-5506
(956) 689-1988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
G0133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G640
BCBS OF TX
TX
01
—
080018795
RAILROAD MEDICARE
TX
05
—
130453703
—
TX
Enumeration date
09/12/2008
Last updated
08/04/2010
Update your record
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