Individual
DR. JASON LANDON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1308 WONDER WORLD DR, SAN MARCOS, TX 78666-7532
(512) 396-5199
(512) 454-4575
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M6888
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281056601
—
TX
05
—
281056602
—
TX
01
—
BP1-0017729
INSTITUTIONAL PERMIT
—
01
—
P00998373
RAILROAD MEDICARE
TX
Enumeration date
05/22/2007
Last updated
03/09/2012
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