Individual
DR. ROBERT CHARLES SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 N BONNIE BRAE ST, SUITE 205, DENTON, TX 76201-3708
(940) 382-1718
(940) 380-9222
Mailing address
209 N BONNIE BRAE ST, SUITE 205, DENTON, TX 76201-3708
(940) 382-1718
(940) 380-9222
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J4529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000U45W2
—
TX
Enumeration date
12/03/2005
Last updated
11/01/2012
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