Individual
MARK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9701 N SAM HOUSTON PKWY E, 170, HUMBLE, TX 77396-4636
(281) 441-6900
Mailing address
PO BOX 841969, DALLAS, TX 75284-1969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E4685
TX
Other
Enumeration date
08/18/2005
Last updated
11/17/2011
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