Organization
GREGORY W. SMITH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMMY LIDBOM-OXFORD (BILLING COORDINATOR)
(956) 465-1091
Entity
Organization
Contact information
Practice address
602 KAIMALI DR, HARLINGEN, TX 78550-0233
(956) 412-1100
(956) 412-1102
Mailing address
PO BOX 1768, SAN ANTONIO, TX 78296-1768
(956) 542-1850
(956) 542-2879
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K5700
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040SM
BLUE CROSS BLUE SHIELD
TX
05
—
207043501
—
TX
01
—
DP8222
MEDICARE - RAIL ROAD
TX
Enumeration date
06/03/2009
Last updated
06/12/2024
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