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Contact Information

SALLY L SMITH, MD
520 DOUGLAS BLVD
TYLER, TX75702-8307
 Phone: 903-593-1721
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SALLY L SMITH · (Female)

NPI # 1871568089
Status Active
Credentials MD
Entity Individual
Enumeration date 02/21/2006
Last updated 10/14/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H8414
  • TX Medicaid 131725705
Hospital affiliation(s)
  • MOTHER FRANCES HOSPITAL - (Acute Care)
    800 EAST DAWSON
    TYLER, TX 75701
  • UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER - (Acute Care)
    11937 US HIGHWAY 271
    TYLER, TX 75708
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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