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Individual

ANGELA N SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
820 E. FRONT, TYLER, TX 75702-8326
(903) 596-0602
(903) 596-0620
Mailing address
820 E. FRONT, TYLER, TX 75702-8326
(903) 596-0602
(903) 596-0620

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K9034
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0094GC
BLUE CROSS/ BS
TX
05
03106101
TX
01
80173828
RAILROAD MEDICARE
GA
Enumeration date
07/05/2005
Last updated
10/31/2011
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