Individual
JACOB CARL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 824-1000
Mailing address
200 K ST NE APT 1041, WASHINGTON, DC 20002-3091
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
BP10057661
TX
2088P0231X
Pediatric Urology Physician
Primary
U4634
TX
Other
Enumeration date
05/31/2016
Last updated
06/13/2023
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