Individual
MR. THOMAS L. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1130 LOUISIANA AVE, SHREVEPORT, LA 71101-3908
(318) 227-1211
(318) 678-4185
Mailing address
1806 AUDUBON PL, SHREVEPORT, LA 71105-3424
(318) 227-1221
(318) 678-4185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
31740
LA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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