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Contact Information

J SCOTT SMITH MD PA
1321 WATER'S EDGE DR. 1010-4
GRANBURY, TX76048
 Phone: 817-598-8120
 Fax: 682-936-4323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for J SCOTT SMITH MD PA · (Female)

NPI Number 1154624195
Status Active
Credentials
Entity Individual
Enumeration date 12/14/2010
Last updated 11/11/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # K3476
  • Other 8AN010 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
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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