Individual
DR. JODY LEEANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10301 GATEWAY BLVD W, EL PASO, TX 79925-7701
(915) 594-1000
(915) 594-1007
Mailing address
10201 GATEWAY BLVD W STE 130, EL PASO, TX 79925-7647
(915) 594-1000
(915) 594-1007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q8794
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
06/14/2010
Last updated
04/25/2019
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