Individual
PHILIP O SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8041 N MACARTHUR BLVD APT 2177, IRVING, TX 75063-7663
(214) 405-8930
Mailing address
PO BOX 97, WESTON, TX 75097-0097
(214) 405-8930
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F7180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089722504
—
TX
Enumeration date
12/23/2005
Last updated
07/09/2022
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