Individual
CYNTHIA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6247 WOODLAND DR, DALLAS, TX 75225-2838
(800) 859-9269
(337) 332-6071
Mailing address
6247 WOODLAND DR, DALLAS, TX 75225-2838
(800) 859-9269
(337) 332-6071
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K2594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004DT
BLUE CROSS BLUE SHIELD
TX
05
—
096629301
—
TX
01
—
250012463
RAILROAD MEDICARE
TX
Enumeration date
03/15/2007
Last updated
10/20/2014
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