Doctor Name: | MRS. EVELYN JOY SMILEY |
NPI Number: | 1659471399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | C6518 |
Business Practice Address: | 1502 North Ave K Lamesa, TX - 793313151 |
Business Phone Number: | 8068723069 |
Business Fax Number: | 8068722952 |
Mailing Address: | 1000 Farm Market Road 300, LEVELLAND |
State: | TX |
Postal Code: | 793366235 |
Phone Number: | 8068971987 |
Fax Number: | 8068943378 |
NPI Enumeration Date: | 09/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C6518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |