Cynthia Smoot, M.D.

Individual provider Active NPI Pediatrics Physician · Atascocita, TX

NPI 1942201280 · NPPES record last updated Nov 21, 2008

Key facts

NPI
1942201280
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
L4723 (TX)
Practice address
18350 Timber Forest Dr
100
Atascocita, TX 77346-2957
Phone
(281) 446-2196
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L4723TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: csmoot1358@prddirect.texaschildrens.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L4723 TX Yes

Addresses

Primary practice location

18350 Timber Forest Dr
100
Atascocita, TX 77346-2957

Mailing address

PO Box 841969
Dallas, TX 75284-1969

Other providers in Atascocita, TX

All providers in Atascocita, TX · Pediatrics Physician in Texas

Sources for this page

Verify at the official NPI Registry.