# SMITH MEDICAL CLINIC, A TEXAS PROFESSIONAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386996874
- **Authorized official:** DR. HOWARD J SMITH M.D. (DIRECTOR)
- **Authorized official phone:** (281) 452-3600

## Contact information

- **Practice address:** 15055 EAST FWY, SUITE B-30, CHANNELVIEW, TX 77530-4144
- **Practice address phone:** (281) 452-3600
- **Practice address fax:** (281) 452-3122
- **Mailing address:** 15055 EAST FWY, SUITE B-30, CHANNELVIEW, TX 77530-4144
- **Mailing address phone:** (281) 452-3600
- **Mailing address fax:** (281) 452-3122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | D7686 | TX | Yes |

## Other

- **Enumeration date:** 10/08/2012
- **Last updated:** 10/29/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D7686 | MEDICAL LICENSE | TX |