Jeremy Smith Md Pa | |
1320 N University Dr Nacogdoches TX 75961-4269 | |
(936) 559-9225 | |
(936) 559-7911 |
Full Name | Jeremy Smith Md Pa |
---|---|
Speciality | Family Medicine |
Location | 1320 N University Dr, Nacogdoches, Texas |
Authorized Official Name and Position | Jeremy Scott Smith (OWNER) |
Authorized Official Contact | 9366456008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jeremy Smith Md Pa 1320 N University Dr Nacogdoches TX 75961-4269 Ph: (936) 559-9225 | Jeremy Smith Md Pa 1320 N University Dr Nacogdoches TX 75961-4269 Ph: (936) 559-9225 |
NPI Number | 1336463264 |
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Provider Enumeration Date | 03/22/2010 |
Last Update Date | 10/28/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336463264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M0573 (Texas) | Primary |
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Stephen F Austin State University Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 North St, Sfa Sports Medicine Clinic, Nacogdoches, TX 75965 Phone: 936-468-4550 Fax: 936-468-4052 | |
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