Provider Demographics
NPI:1528048014
Name:SMITH, CATHY SCHINDLER (MD)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:SCHINDLER
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 RICHMOND RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-0711
Mailing Address - Country:US
Mailing Address - Phone:903-831-3033
Mailing Address - Fax:903-831-3032
Practice Address - Street 1:3510 RICHMOND RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503
Practice Address - Country:US
Practice Address - Phone:903-831-3033
Practice Address - Fax:903-831-3032
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8133207QA0000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5K188OtherBLUE CROSS BLUE SHIELD
AR127507001OtherMEDICAID
TX113439701Medicaid
TX81049BOtherBLUE CROSS BLUE SHIELD
TX8L0496OtherMEDICARE INDIVIDUAL NUMBER
TX007802Medicare ID - Type Unspecified
AR127507001OtherMEDICAID
TX113439701Medicaid