Charles Drew Smith

Individual provider Active NPI Sonography Specialist/Technologist Cardiovascular · Emory, TX

NPI 1265067276 · NPPES record last updated Mar 17, 2020

Key facts

NPI
1265067276
Entity type
Individual (NPI type 1)
Primary specialty
Sonography Specialist/Technologist Cardiovascular 246XS1301X
Practice address
914 RSCR 3345
Emory, TX 75440-4810
Phone
(817) 343-9381
NPI assigned
Mar 10, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Imaging LLC Current
since Mar 22, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
Sonography Specialist/Technologist Cardiovascular 246XS1301X TX Yes

Addresses

Primary practice location

914 RSCR 3345
Emory, TX 75440-4810

Mailing address

914 RSCR 3345
Emory, TX 75440-4810
Phone (817) 343-9381

Other providers in Emory, TX

All providers in Emory, TX · Sonography Specialist/Technologist Cardiovascular in Texas

Sources for this page

Verify at the official NPI Registry.