Individual
DR. EVANS SWANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 S BECKHAM AVE, TYLER, TX 75701-1905
(903) 526-4325
(903) 526-2871
Mailing address
PO BOX 133122, TYLER, TX 75713-3122
(903) 526-4325
(903) 526-2871
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L0609
TX
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
L0609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030687001
—
TX
Enumeration date
12/12/2005
Last updated
06/30/2008
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