Clyde D Smith, MD is a
Surgery physician based in Taylor, Texas. Clyde D Smith is licensed to practice in Texas (license number E3457) and his current practice location is 305 Mallard Ln, Taylor, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 914-2628.
NPI number for Clyde D Smith is 1104917202 and his current mailing address is Po Box 938, Killeen, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104917202.
Physician's Profile
| Full Name | Clyde D Smith |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 305 Mallard Ln, Taylor, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104917202
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 02/28/2011
Medical Identifiers
Medical identifiers for Clyde D Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104917202 | NPI | - | NPPES |
| 137633715 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | E3457 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clyde D Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Clyde D Smith, MD
Po Box 938,
Killeen, TX 76540-0938
Ph: (254) 634-6999 | Clyde D Smith, MD
305 Mallard Ln,
Taylor, TX 76574-1208
Ph: (512) 914-2628 |
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