Individual
QUINTIN JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4012 NORTH LAMAR BV, AUSTIN, TX 78756-3714
(512) 454-3624
(512) 454-1287
Mailing address
4012 NORTH LAMAR BV, AUSTIN, TX 78756-3714
(512) 454-3624
(512) 454-1287
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D2599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099351101
—
TX
Enumeration date
10/23/2006
Last updated
08/08/2007
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