National Provider Identifier Database

J SCOTT SMITH MD PA
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for J SCOTT SMITH MD PA

NPI Number 1154624195
Legal business name
LBN
J SCOTT SMITH MD PA
Authorized official JEFFREY SMITH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/14/2010
Last updated 11/11/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: K3476
  • Other: 8AN010 BLUE CROSS BLUE SHIELD

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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