Individual
DR. DANIEL J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1605 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E6176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010064255
RR/MEDICARE
TX
05
—
1010068-01
—
TX
01
—
1010068-02
CSHCN
TX
01
—
807440
BLUE SHIELD
TX
Enumeration date
04/03/2006
Last updated
08/04/2021
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