Individual
DR. LARRY LAMAR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6757 US HIGHWAY 271 N, GILMER, TX 75644-5409
(903) 758-3376
(903) 758-3526
Mailing address
PO BOX 1009, GILMER, TX 75644-1009
(903) 758-3376
(903) 758-3526
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G7887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033578801
—
TX
01
—
070001243
RAILROAD MEDICARE
GA
Enumeration date
12/05/2006
Last updated
10/21/2022
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