Individual
MR. MATTHEW T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4333 N JOSEY LN, SUITE 202, CARROLLTON, TX 75010-4629
(469) 557-9627
(214) 731-0050
Mailing address
3315 COLORADO BLVD, SUITE 102, DENTON, TX 76210-6884
(972) 219-0558
(940) 320-1708
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD072037L
PA
207RN0300X
Nephrology Physician
Primary
N3316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207294401
—
TX
Enumeration date
05/17/2006
Last updated
07/07/2016
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