Tamiko Smith, is a
Pathology - Clinical Pathology/laboratory Medicine physician based in Grand Prairie, Texas. Tamiko Smith is licensed to practice in Texas (license number 45D2163869) and her current practice location is 410 Nw 11th St # 112, Grand Prairie, Texas. She can be reached at her office (for appointments etc.) via phone at
(469) 212-7879.
NPI number for Tamiko Smith is 1083176457 and her current mailing address is 410 Nw 11th St # 112, Grand Prairie, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083176457.
Physician's Profile
| Full Name | Tamiko Smith |
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| Gender | Female |
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| Speciality | Pathology - Clinical Pathology/laboratory Medicine |
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| Location | 410 Nw 11th St # 112, Grand Prairie, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083176457
- Provider Enumeration Date: 04/03/2019
- Last Update Date: 04/03/2019
Medical Identifiers
Medical identifiers for Tamiko Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083176457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 45D2163869 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tamiko Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tamiko Smith,
410 Nw 11th St # 112,
Grand Prairie, TX 75050-5416
Ph: (469) 212-7879 | Tamiko Smith,
410 Nw 11th St # 112,
Grand Prairie, TX 75050-5416
Ph: (469) 212-7879 |
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