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Individual

DR. ADRIANNE PATRICE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2900 S LOOP 256, PALESTINE, TX 75801-6958
(037) 312-2199
(903) 731-2246
Mailing address
5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
(904) 446-3781
(904) 446-3032

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
K0209
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128877109
TX
01
614038ZHG6
MEDICARE
TX
Enumeration date
12/11/2008
Last updated
06/26/2019
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