Individual
DR. JAMES LEN SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 SETON CENTER PKWY 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Mailing address
4700 SETON CENTER PKWY 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G5625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122429704
—
TX
01
—
200023135
MEDICARE RAILROAD
—
Enumeration date
08/11/2005
Last updated
08/08/2019
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