Dr Archie Dan Smith Jr, MD | |
1215 Red River, Austin, TX 78701-1921 | |
(512) 479-3526 | |
(512) 474-2720 |
Full Name | Dr Archie Dan Smith Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 1215 Red River, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396887691 | NPI | - | NPPES |
E8916 | Other | COMMERCIAL - LICENSE | |
000B56J | Other | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | E8916 (Texas) | Primary |
Entity Name | Health And Human Services Commission |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
Mailing Address | Practice Location Address |
---|---|
Dr Archie Dan Smith Jr, MD Po Box 5692, Austin, TX 78763-5692 Ph: (512) 474-5244 | Dr Archie Dan Smith Jr, MD 1215 Red River, Austin, TX 78701-1921 Ph: (512) 479-3526 |
Dr. Tatiana B. Jacobson, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746 Phone: 512-323-5465 Fax: 512-327-1390 | |
Preeti Venkatraman, M.B.B.S. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E 15th St, Austin, TX 78701 Phone: 512-324-7000 | |
Pritesh Harish Gandhi, M.D., M.P.H. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1101 Camino La Costa, Austin, TX 78752 Phone: 512-684-1832 | |
Dr. Joshua Lane Davis, D.O. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1004 W 32nd St Unit 300, Austin, TX 78705 Phone: 512-324-3440 | |
Dr. Grace Marie Grant-jennings, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 North Mopac, Suite # 420, Austin, TX 78731 Phone: 512-482-0045 Fax: 512-476-9892 | |
Dr. Debra Ann Patt, MD, MPH Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6204 Balcones Dr, Austin, TX 78731 Phone: 512-427-9400 Fax: 512-342-2723 | |
Dr. Matthew Morris Medlock, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 6233 Carrington Dr, Austin, TX 78749 Phone: 512-293-0247 |