Individual
THOMAS ROSS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2516 BROADMOOR BLVD, MONROE, LA 71201
(318) 322-1161
(318) 322-9313
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD.206916
LA
207RI0011X
Interventional Cardiology Physician
Primary
MD.206916
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144634
—
LA
Enumeration date
05/04/2011
Last updated
10/26/2023
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