Individual
PRESTON GEORGE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12505 HYMEADOW DR STE 2C, AUSTIN, TX 78750-1866
(512) 828-4300
(512) 341-7370
Mailing address
12505 HYMEADOW DR STE 2C, AUSTIN, TX 78750-1866
(512) 828-4300
(512) 341-7370
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
036135650
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
R2979
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3732372
—
TX
Enumeration date
10/20/2011
Last updated
06/28/2024
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