Individual
DR. BRANDON GEORGE SMAGLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD STE 1350, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
Q8643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
358673705
MEDICAID-CSHCN
TX
05
—
358673705
—
TX
Enumeration date
08/08/2007
Last updated
04/24/2020
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