Jordan Michael Smith, DO | |
5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235-7708 | |
(214) 590-8058 | |
Not Available |
Full Name | Jordan Michael Smith |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 5201 Harry Hines Blvd, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144488685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | N4115 (Texas) | Primary |
Entity Name | Ut Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
Entity Name | Acs Primary Care Physicians Southwest Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
Entity Name | Memorial Hermann Hospital Based Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295363497 PECOS PAC ID: 4385075480 Enrollment ID: O20200505001521 |
Entity Name | Round Table Physicians Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023439114 PECOS PAC ID: 0547682460 Enrollment ID: O20200623002513 |
Mailing Address | Practice Location Address |
---|---|
Jordan Michael Smith, DO Po Box 660599, Dallas, TX 75266-0599 Ph: (214) 590-4105 | Jordan Michael Smith, DO 5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235-7708 Ph: (214) 590-8058 |
Bradford Stager Commons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235 Phone: 214-590-8058 | |
Dr. Sandeep Guttikonda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-648-3916 Fax: 214-648-8423 | |
Jeffrey Szot, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-2667 | |
Matthew Tice, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-217-1911 | |
Dr. Renjie Michael Li, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13737 Noel Rd, Dallas, TX 75240 Phone: 214-217-1912 | |
Dr. Christian Brewer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-7000 | |
James Pierre D'etienne, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-2505 Fax: 214-712-2487 |