Individual
DONALD RAY SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2250 HAYES ST STE 302, SAN FRANCISCO, CA 94117-1078
(415) 750-5995
(415) 666-3144
Mailing address
5710 LEONA AVE APT 5, DALLAS, TX 75231-5364
(850) 393-1181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
332886
LA
363A00000X
Physician Assistant
4212-23
WI
363A00000X
Physician Assistant
PA-2644
ID
363A00000X
Physician Assistant
PA08849
TX
363A00000X
Physician Assistant
Primary
PA58105
CA
363A00000X
Physician Assistant
PA9105176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001640200
—
FL
01
—
CR580Z
MEDICARE
FL
Enumeration date
09/23/2009
Last updated
07/29/2026
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