Individual
RANDALL DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 HERRING AVE, WACO, TX 76708-3239
(254) 202-8611
Mailing address
14018 HARBOR DR, WOODWAY, TX 76712-7522
(254) 776-7309
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K2377
TX
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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