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Individual

DR. MICHAEL CHARLES SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
50 HILLCREST MEDICAL BLVD STE 104, WACO, TX 76712-8953
(254) 215-9481
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R7116
TX

Other

Enumeration date
02/15/2010
Last updated
11/19/2020
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