| Organization Name: | SMITH MEDICAL CLINIC, A TEXAS PROFESSIONAL ASSOCIATION |
| NPI Number: | 1386996874 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOWARD J SMITH (DIRECTOR) |
| Mailing Address: | 15055 East Fwy Suite B-30 Channelview |
| State: | TX US |
| Postal Code: | 775304144 |
| Phone Number: | 2814523600 |
| Fax Number: | 2814523122 |
| NPI Enumeration Date: | 10/08/2012 |
| NPI Last Update Date: | 10/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D7686 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |