Individual
JUSTIN GIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 ROUND ROCK AVE STE 100, ROUND ROCK, TX 78681-4082
(866) 552-4866
Mailing address
8135 FOREST LN # 515057, DALLAS, TX 75230-2472
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P6277
TX
Other
Enumeration date
10/29/2008
Last updated
07/22/2024
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