ERIC WAYNE SMITH

AMARILLO, TX
NPI1265046932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP144510)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: TX  AP144510)
Enumeration Date2020-09-01
Last Update Date2021-11-11
Business Address
ERIC WAYNE SMITH
1301 S COULTER ST SUITE 200
AMARILLO, TX 79106-7910
Phone number: 806-340-0550
Mailing Address
ERIC WAYNE SMITH
367 S GULPH RD ATN :IPM CREDENTIALING
KING OF PRUSSIA, PA 19406-3121
Phone number: 806-340-0550