Organization
CRAIG D SMITH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG DOUGLAS SMITH M.D. (PRESIDENT)
(972) 233-6237
Entity
Organization
Contact information
Practice address
12222 MERIT DR, SUITE# 1420, DALLAS, TX 75251-2217
(972) 233-6237
Mailing address
12222 MERIT DR, SUITE# 1420, DALLAS, TX 75251-2217
(972) 233-6237
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E6622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BE45
BCBS
TX
Enumeration date
07/05/2007
Last updated
01/12/2015
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