Timothy Smith, MD | |
10301 Gateway Blvd W, El Paso, TX 79925-7701 | |
(309) 373-3449 | |
Not Available |
Full Name | Timothy Smith |
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Gender | Male |
Speciality | Surgery |
Location | 10301 Gateway Blvd W, El Paso, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497209548 | NPI | - | NPPES |
2016022430 | Other | MO | MISSOURI BOARD OF HEALING ARTS |
T7743 | Other | TX | TEXAS MEDICAL BOARD |
TRN25581 | Other | FL | FLORIDA BOARD OF MEDICINE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | TRN25581 (Florida) | Secondary |
208600000X | Surgery | 2016022430 (Missouri) | Secondary |
208600000X | Surgery | T7743 (Texas) | Primary |
Entity Name | Texas Trauma Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962144618 PECOS PAC ID: 2769862044 Enrollment ID: O20220705000286 |
Mailing Address | Practice Location Address |
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Timothy Smith, MD 10201 Gateway Blvd W Ste 130, El Paso, TX 79925-7647 Ph: (915) 594-1000 | Timothy Smith, MD 10301 Gateway Blvd W, El Paso, TX 79925-7701 Ph: (309) 373-3449 |
Thomas Lowell Pester, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1700 Murchison Dr Ste 211, El Paso, TX 79902 Phone: 915-533-5100 Fax: 915-533-5101 | |
Dr. Michael Anthony Weber, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5005 N Piedras St, Wbamc, El Paso, TX 79920 Phone: 915-569-3695 | |
Ruben Ortiz, LSA Surgery Medicare: Not Enrolled in Medicare Practice Location: 8304 Shaver Dr, El Paso, TX 79925 Phone: 214-227-2457 Fax: 214-764-0880 | |
Elaine Cleveland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4815 Alameda Ave, El Paso, TX 79905 Phone: 915-215-5300 Fax: 915-215-8606 | |
Manuel L. Acosta-corrales, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1655 Mosswood St, El Paso, TX 79935 Phone: 915-591-7700 Fax: 915-591-3170 | |
Tiffany M Lasky, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5300 Fax: 915-215-8606 | |
Gerard Francis Crecca, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Curie Dr, Suite 5300, El Paso, TX 79902 Phone: 915-542-2825 Fax: 915-542-1713 |