Individual
JACOB ALLAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3445 EXECUTIVE CENTER DR, STE 250, AUSTIN, TX 78731-1678
(512) 579-4000
(512) 439-2814
Mailing address
3445 EXECUTIVE CENTER DR, STE 250, AUSTIN, TX 78731-1678
(512) 579-4000
(512) 439-2814
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT210978
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
T0005
TX
Other
Enumeration date
08/07/2018
Last updated
05/17/2021
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