Individual
DONALD RAY SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2533 CUMBERLAND TRL, BALCH SPRINGS, TX 75181-2164
(850) 393-1181
Mailing address
2533 CUMBERLAND TRL, BALCH SPRINGS, TX 75181-2164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
332886
LA
363A00000X
Physician Assistant
4212-23
WI
363A00000X
Physician Assistant
Primary
PA-2644
ID
363A00000X
Physician Assistant
PA08849
TX
363A00000X
Physician Assistant
PA9105176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001640200
—
FL
01
—
CR580Z
MEDICARE
FL
Enumeration date
09/23/2009
Last updated
11/22/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us