Organization
OMNICARE MEDICAL ASSOCIATES, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL RAYMOND SMITH MD (PRESIDENT)
(972) 447-0220
Entity
Organization
Contact information
Practice address
5068 W PLANO PKWY, SUITE 224, PLANO, TX 75093-4408
(972) 447-0220
Mailing address
5068 W PLANO PKWY, SUITE 224, PLANO, TX 75093-4408
(972) 447-0220
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
09/04/2007
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