Provider Demographics
NPI:1609869692
Name:SMYTHE, BARBARA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:SMYTHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 LANCASTER DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3574
Mailing Address - Country:US
Mailing Address - Phone:817-885-7878
Mailing Address - Fax:817-885-7444
Practice Address - Street 1:1602 LANCASTER DR
Practice Address - Street 2:SUITE 102
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3579
Practice Address - Country:US
Practice Address - Phone:817-885-7878
Practice Address - Fax:817-885-7444
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1788174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4198306OtherAETNA INSURANCE
TX8R9200OtherBCBS
TX4198306OtherAETNA INSURANCE
TXE95473Medicare UPIN