Organization Name: | DONALD W SMITH MD PA |
NPI Number: | 1376749770 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD W SMITH (PRESIDENT) |
Mailing Address: | 17907 Kuykendahl Rd Suite 101 Spring |
State: | TX US |
Postal Code: | 773798156 |
Phone Number: | 2813766722 |
Fax Number: | 2813709691 |
NPI Enumeration Date: | 06/22/2007 |
NPI Last Update Date: | 06/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D6870 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |