Provider Demographics
NPI:1114199221
Name:SMITH, ABBIE LEIGH (MD)
Entity Type:Individual
Prefix:DR
First Name:ABBIE
Middle Name:LEIGH
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ABBIE
Other - Middle Name:LEIGH
Other - Last Name:SLAYBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1112 N FLOYD RD STE 7
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4243
Mailing Address - Country:US
Mailing Address - Phone:972-952-0280
Mailing Address - Fax:
Practice Address - Street 1:1112 N FLOYD RD STE 7
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4243
Practice Address - Country:US
Practice Address - Phone:972-952-0280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9134208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics