Individual
ROBERT EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
63205
AZ
2085R0202X
Diagnostic Radiology Physician
BP10057664
TX
2085R0202X
Diagnostic Radiology Physician
Primary
T7047
TX
Other
Enumeration date
05/23/2016
Last updated
08/23/2022
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