Individual
JASON DANIEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
36000 DARNALL LOOP, EMERGENCY DEPARTMENT, FORT HOOD, TX 76544-5095
(254) 288-8302
Mailing address
6221 TURTLE CREEK TRL, TEMPLE, TX 76502-7907
(817) 808-0682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N1454
TX
Other
Enumeration date
05/24/2007
Last updated
07/23/2012
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