Individual
J SIDNEY SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503
(903) 614-3000
(903) 614-3525
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
EO618
TX
207R00000X
Internal Medicine Physician
R2113
AZ
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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