Provider Demographics
NPI:1538482930
Name:ALBERT L. SMITH, M.D., P.A.
Entity Type:Organization
Organization Name:ALBERT L. SMITH, M.D., P.A.
Other - Org Name:SMITH FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANIS
Authorized Official - Suffix:
Authorized Official - Credentials:BHA, CCRA, NCMA
Authorized Official - Phone:956-689-5506
Mailing Address - Street 1:165 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:RAYMONDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78580-3521
Mailing Address - Country:US
Mailing Address - Phone:956-689-5506
Mailing Address - Fax:956-689-1988
Practice Address - Street 1:165 S 6TH ST
Practice Address - Street 2:
Practice Address - City:RAYMONDVILLE
Practice Address - State:TX
Practice Address - Zip Code:78580-3521
Practice Address - Country:US
Practice Address - Phone:956-689-5506
Practice Address - Fax:956-689-1988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-12
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
TXG0133207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080018795OtherRAILROAD MEDICARE
TX215784401Medicaid
TX080018795OtherRAILROAD MEDICARE
TXC22011Medicare UPIN
TX0299520001Medicare NSC
TX080018795OtherRAILROAD MEDICARE
TX296279P01OtherCIGNA
4374854OtherAETNA
TX135927100OtherVALLEY BAPTIST HEALTH PLAN
TX1467601658Medicare NSC