MS. Maryellen Warro Smith, P.A.

NPI #1275648834 in Tyler, Texas

Provider Information

NPI Number: 1275648834
Entity Type: Individual
Name: MS. Maryellen Warro Smith, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Aug 21, 2006
Last Updated: Feb 28, 2018

Practice Location

Address: 5414 S BROADWAY AVE
City: Tyler
State: Texas
ZIP Code: 75703-1335
Phone: (903) 581-1601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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