Individual
DR. ELLAWESE YVONNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1721 ANALOG DR, RICHARDSON, TX 75081-1944
(972) 276-6100
(972) 276-1231
Mailing address
700 WALTER REED BLVD STE 305, GARLAND, TX 75042-3719
(972) 276-6100
(972) 276-1231
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J1485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075HS
BCBS
TX
05
—
131205010
—
TX
01
—
8P2162
BCBS
TX
Enumeration date
12/06/2006
Last updated
01/03/2020
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