Provider Demographics
NPI:1790765618
Name:SCHINDLER-SMITH PA
Entity Type:Organization
Organization Name:SCHINDLER-SMITH PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:SCHINDLER
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-831-3033
Mailing Address - Street 1:3510 RICHMOND RD
Mailing Address - Street 2:STE 100
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503
Mailing Address - Country:US
Mailing Address - Phone:903-831-3033
Mailing Address - Fax:903-831-3032
Practice Address - Street 1:3510 RICHMOND RD
Practice Address - Street 2:STE 100
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503
Practice Address - Country:US
Practice Address - Phone:903-831-3033
Practice Address - Fax:903-831-3032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81049BOtherBLUE CROSS BLUE SHIELD
AR127507001Medicaid
AR5K188OtherBLUE CROSS BLUE SHIELD
TX113439701Medicaid
AR5K188OtherBLUE CROSS BLUE SHIELD