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Ethan Lawrence Smith
Student in an Organized Health Care Education/Training Program in Midland, Texas
NPI 1750164752

Ethan Lawrence Smith is a Student in an Organized Health Care Education/Training Program based in Midland, TX. Ethan Lawrence Smith practices in Midland, TX. The NPI Number for Ethan Lawrence Smith is 1750164752 and holds a License No. (Texas).

The current practice location address for Ethan Lawrence Smith is 3600 N Garfield St, Midland, TX and can be reached out via phone at 385-285-5567.

Location: 3600 N Garfield St, Midland, TX, 79705-6329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750164752
Provider Name
Ethan Lawrence Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
3600 N Garfield St, Midland, TX, 79705-6329
Phone Number
385-285-5567
Fax Number
Provider Enumeration Date
08/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3600 N Garfield St
City
Midland
State
Texas
Zip
79705-6329
Phone Number
385-285-5567
Fax Number
person
Provider Business Mailing Address Details
Address
3600 N Garfield St
City
Midland
State
Texas
Zip
79705-6329
Phone Number
385-285-5567
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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