Mrs Valerie B Smith, MD | |
1350 E Richards St, Tyler, TX 75702-6153 | |
(903) 531-9455 | |
(903) 526-3118 |
Full Name | Mrs Valerie B Smith |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1350 E Richards St, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073625737 | NPI | - | NPPES |
L9490 | Other | TX | MEDICAL LICENSE MD |
182191002 | Medicaid | TX | |
182191003 | Other | TX | CSHCN MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L9490 (Texas) | Primary |
Entity Name | Northeast Texas Public Health District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699745208 PECOS PAC ID: 7012984768 Enrollment ID: O20040913001200 |
Entity Name | Tyler Family Circle Of Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144575820 PECOS PAC ID: 4587812888 Enrollment ID: O20120911000666 |
Mailing Address | Practice Location Address |
---|---|
Mrs Valerie B Smith, MD 1350 E Richards St, Tyler, TX 75702-6153 Ph: (903) 531-9455 | Mrs Valerie B Smith, MD 1350 E Richards St, Tyler, TX 75702-6153 Ph: (903) 531-9455 |
Krystal Castle, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 305 W Rusk St, Tyler, TX 75701 Phone: 903-592-7304 | |
Daniel Jun Park, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942 | |
Kristina Orey Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-596-3862 Fax: 903-590-5005 | |
Adelina G. Meadows, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942 | |
Dr. Michael David Austin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St, Tyler, TX 75701 Phone: 903-594-2450 Fax: 903-939-0610 | |
James Riley Davis, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-590-5000 Fax: 903-590-5005 |