Individual
MERYLE DOROTHY SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
803 W LAMPASAS ST, ENNIS, TX 75119-4535
(972) 875-0900
Mailing address
PO BOX 140430, DALLAS, TX 75214-0430
(214) 522-0210
(214) 522-0474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
514500
TX
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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