Individual
MR. BENJAMIN LEVI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
2918 PLEASANT GROVE RD, TEXARKANA, TX 75503-0064
(903) 793-6135
(903) 793-0053
Mailing address
2918 PLEASANT GROVE RD, TEXARKANA, TX 75503-0064
(903) 628-1214
(903) 347-2255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1192873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00038458
CHRISTUS HEALTH PLAN
TX
01
—
1314540
CIGNA AMERICAN SPECIALTY HEALTH
TX
01
—
13572986
HEALTHSMART
TX
05
—
192589721
—
AR
01
—
2720894
FIRST HEALTH
TX
05
—
287333301
—
TX
01
—
4842988
AETNA
TX
01
—
721253100
DEPARTMENT OF LABOR
TX
01
—
880761
UNITED HEALTHCARE
TX
01
—
88219
BCBS
AR
01
—
B0003814
EMPOWER
AR
01
—
P14919
SUPERIOR
AR
Enumeration date
08/17/2011
Last updated
03/16/2023
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