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Individual

DR. DANNY R SMART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1651 ROCK PRAIRIE RD, STE 100, COLLEGE STATION, TX 77845-8652
(979) 680-0361
Mailing address
1651 ROCK PRAIRIE RD, STE 100, COLLEGE STATION, TX 77845-8652
(979) 680-0361

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G5622
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00075702
PALMETTO RAILROAD MCARE
TX
05
098840403
TX
01
8K0090
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/01/2006
Last updated
12/23/2011
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