Individual
DR. JEFFREY A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 S NOLEN DR, SOUTHLAKE, TX 76092-9167
(817) 424-1525
(817) 424-3491
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2213
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L1464
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8004K1
BCBS
TX
Enumeration date
12/21/2005
Last updated
05/16/2013
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