Individual
PAUL ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
(254) 202-5651
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
(254) 202-9330
(254) 202-9349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
N3317
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
N3317
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
N3317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03353844
—
NY
Enumeration date
09/01/2007
Last updated
10/29/2020
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