Individual
GARY MARK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3330 MASONIC DR, CHRISTUS CABRINI GROUP PRACTICE - INTENSIVISTS, ALEXANDRIA, LA 71301-3841
(318) 448-6700
(318) 483-4066
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.06275R
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD06275R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1338133
—
LA
Enumeration date
05/06/2006
Last updated
01/16/2017
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