Mr. Marcus Andrew Smith
Neurosurgeon
2602 Saint Michael Dr Ste 302b
Texarkana
, Texas 75503-5228
Mr. Marcus Andrew Smith
Neurosurgeon
2602 Saint Michael Dr Ste 302b
Texarkana
, Texas 75503-5228
(903) 792-7408
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Mr. Marcus Andrew Smith
- Po Box 9600 Department 09-019
- Texarkana, TX
- Zip : 75505-9600
- Fax : (903) 792-7408
- Phone : (903) 794-4196
Second Address
- Mr. Marcus Andrew Smith
- 2602 Saint Michael Dr Ste 302b
- Texarkana, TX
- Zip : 75503-5228
- Fax : (903) 614-5190
- Phone : (903) 794-4196
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | N1153 | TX |
National Provider Identifier
| NPI | 1093929150 |
|---|---|
| Provider Name | Mr. Marcus Andrew Smith |
| First Address | Texarkana, TX 75505-9600 |
| Second Address | Texarkana, TX 75503-5228 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2007 |
| Last Update Date | 12/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1093929150 | HUMANA MILITARY (01) | |
| 1093929150 | QUALCHOICE (01) | TX |
| 1093929150 | TRICARE- HUMANA MILITARY (01) | TX |
| 178049001 | (05) | AR |
| 179117500 | US DEPARTMENT OF LABOR (01) | TX |
| 1871793307 | CIGNA DME# (01) | |
| 1G2371 | MEDICARE (01) | TX |
| 200258160A | (05) | OK |
| 203880401 | (05) | TX |
| 85751 | BLUE CROSS BLUE SHIELD OF ARKANSAS (01) | AR |
| 8L14510 | INDIVIDUAL PTAN MEDICARE (01) | TX |
| MDN1153 | TEXAS WORKERS' COMPENSATION (01) | TX |
| P00738165 | RAILROAD MEDICARE (01) | TX |
| P02599421 | RR MCR (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.