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Individual

CHRISTOPHER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7900 FM 1826 BLDG 2, AUSTIN, TX 78737-1407
(512) 416-0044
Mailing address
2512 S INTERSTATE 35, STE 310, AUSTIN, TX 78704-5758
(512) 900-5844

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0201
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044987801
TX
05
080141925
TX
Enumeration date
07/31/2006
Last updated
11/06/2018
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