Doctor Name: | DR. STANLEY GRANT SMITH |
NPI Number: | 1326144114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | H4709 |
Business Practice Address: | 1439 Hanz Dr New Braunfels, TX - 781302567 |
Business Phone Number: | 8306069099 |
Business Fax Number: | 8306080717 |
Mailing Address: | 1439 Hanz Dr, NEW BRAUNFELS |
State: | TX |
Postal Code: | 781302567 |
Phone Number: | 8306069099 |
Fax Number: | 8306080717 |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | H4709 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |