Individual
DR. NATHAN RYAN SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 N HIGHLAND AVE STE 130, SHERMAN, TX 75092-7383
(903) 892-9179
(903) 868-2317
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2213
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Q3108
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
Q3108
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346152703
—
TX
05
—
346152704
—
TX
Enumeration date
04/16/2009
Last updated
04/12/2021
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