Individual
DR. MARCUS DARNELL SMITH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17201 I H 45 S, SHENANDOAH, TX 77385-3311
(936) 270-2099
Mailing address
17201 I H 45 S, SHENANDOAH, TX 77385-3311
(936) 270-2099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M0278
TX
208M00000X
Hospitalist Physician
Primary
M0278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170716803
—
TX
01
—
854652
BCBS
—
Enumeration date
06/22/2005
Last updated
08/16/2018
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