| Dr. Cynthia Swayze Smith D.o | |
|
7777 Forest Ln Bldg C Suite A94 Pmb 138 Dallas TX 75230 | |
| (469) 360-6787 | |
| Not Available |
| Full Name | Dr. Cynthia Swayze Smith D.o |
|---|---|
| Speciality | Internal Medicine |
| Location | 7777 Forest Ln Bldg C Suite A94, Dallas, Texas |
| Authorized Official Name and Position | Cynthia D Swayze-smith (PHYSICAN) |
| Authorized Official Contact | 4693606787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Cynthia Swayze Smith D.o 7777 Forest Ln Bldg C Suite A94 Pmb 138 Dallas TX 75230 Ph: (469) 360-6787 | Dr. Cynthia Swayze Smith D.o 7777 Forest Ln Bldg C Suite A94 Pmb 138 Dallas TX 75230 Ph: (469) 360-6787 |
| NPI Number | 1053594911 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 06/10/2008 |
| Medicare PECOS PAC ID | 9739175662 |
|---|---|
| Medicare Enrollment ID | O20040423001374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053594911 | NPI | - | NPPES |
| 165161401 | Medicaid | TX | |
| 154379502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L4741 (Texas) | Primary |
| Provider Name | Cynthia Swayze Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750358065 PECOS PAC ID: 4183610017 Enrollment ID: I20040423001392 |
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