Individual
DANIEL DWIGHT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 639-3036
(936) 639-3064
Mailing address
PO BOX 1447, LUFKIN, TX 75902-1447
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87054U
BCBS
TX
01
—
87059U
BCBS
TX
Enumeration date
01/22/2007
Last updated
08/27/2008
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