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Individual

GARY W. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8862
(512) 343-2292
Mailing address
8140 N MOPAC EXPY, SUITE 3-210, AUSTIN, TX 78759-8837
(512) 493-9227

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G9308
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1280109-02
TX
Enumeration date
03/24/2006
Last updated
08/21/2008
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