Individual
DAVID EARLE SMITH
Active
Individual
DAVID EARLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
79483
GA
207L00000X
Anesthesiology Physician
Primary
S3310
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402923301
—
TX
01
—
8LP688
BCBS
TX
Enumeration date
05/26/2014
Last updated
11/25/2019
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