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Individual

CHAD RICHARD SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., FAAP

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N1897
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129982807
TX
Enumeration date
05/19/2009
Last updated
01/15/2015
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