Individual
ROY BASCOM SMITH
Active
Individual
ROY BASCOM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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