Provider Demographics
NPI:1396812012
Name:SMARTCARE OF TEXAS
Entity type:Organization
Organization Name:SMARTCARE OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILPOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-869-3200
Mailing Address - Street 1:3613 WILLIAMS DR STE 701
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-1373
Mailing Address - Country:US
Mailing Address - Phone:512-869-3200
Mailing Address - Fax:
Practice Address - Street 1:3613 WILLIAMS DR STE 701
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-1373
Practice Address - Country:US
Practice Address - Phone:512-869-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty