| Dr Homer Don Smith, MD | |
|
3200 Troup Hwy, Suite #200, Tyler, TX 75701-8397 | |
| (903) 533-8084 | |
| (903) 535-9543 |
| Full Name | Dr Homer Don Smith |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 3200 Troup Hwy, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063441475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | D1055 (Texas) | Primary |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Entity Name | Rehabilitation Hospital, Llc |
|---|---|
| Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
| Entity Identifiers | NPI Number: 1174021695 PECOS PAC ID: 8123382835 Enrollment ID: O20191023003300 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Homer Don Smith, MD 3200 Troup Hwy, Suite #200, Tyler, TX 75701-8397 Ph: (903) 533-8084 | Dr Homer Don Smith, MD 3200 Troup Hwy, Suite #200, Tyler, TX 75701-8397 Ph: (903) 533-8084 |
Kirby Kile, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-593-8441 | |
Saleem Zaidi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-5864 | |
Robert M Sutherland, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir, Ste 404, Tyler, TX 75701 Phone: 903-593-1738 Fax: 903-596-7852 | |
Dr. Asa Lockhart, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3200 Troup Hwy, Suite #200, Tyler, TX 75701 Phone: 903-533-8084 Fax: 903-535-9543 | |
Jessica Wilkin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Ese Loop323, Tyler, TX 75701 Phone: 903-606-4051 | |
Dr. Lawrence Paul Elikan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-561-4500 |