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Individual

MALCOLM A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K1682
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047200301
TX
05
130482001
AR
Enumeration date
08/10/2005
Last updated
10/03/2018
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