Individual
DR. MATTHEW DONALD SMITH SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR., MCHE/ME, JBSA FORT SAM HOUSTON, TX 78234
(812) 360-0272
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31330
NE
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
31330
NE
208D00000X
General Practice Physician
31330
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2017
Last updated
10/02/2023
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