Individual
SUSAN DEPOLITI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
227 SADDLEBRED LN, GEORGETOWN, TX 78633-2316
(361) 985-1221
(361) 985-1295
Mailing address
227 SADDLEBRED LN, GEORGETOWN, TX 78633-2316
(361) 985-1221
(361) 985-1295
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L7711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L7711
LICENSE
TX
Enumeration date
07/28/2006
Last updated
11/08/2025
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