Individual
ROBERT GLENN SMITH
Active
Individual
ROBERT GLENN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H2008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157791801
—
TX
05
—
157791803
—
TX
01
—
8EY670
BLUE CROSS BLUE SHIELD
TX
01
—
P01511158
RR MEDICARE
TX
Enumeration date
12/05/2006
Last updated
11/04/2015
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