Individual
ROY BASCOM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6624 FANNIN ST, SUITE 2600, HOUSTON, TX 77030-2312
(713) 790-1818
(713) 790-7500
Mailing address
6624 FANNIN ST, SUITE 2600, HOUSTON, TX 77030-2312
(713) 790-1818
(713) 790-7500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E2862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1254773-02
—
TX
05
—
125477305
—
TX
05
—
125477306
—
TX
01
—
200016148
MEDICARE RAILROAD
TX
01
—
2960776
CIGNA
TX
01
—
4211561
AETNA US HEALTHCARE
TX
01
—
741660214
HEALTH NEW ENGLAND
TX
01
—
843084
BCBS
TX
01
—
8FE194
BLUE CROSS BLUE SHIELD
TX
01
—
P01556981
RR MEDICARE
TX
Enumeration date
06/09/2006
Last updated
01/26/2016
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