Individual
DR. BLAKE T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(972) 519-1444
Mailing address
7313 BRAEMAR TER, COLLEYVILLE, TX 76034-7329
(817) 329-3905
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L6644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159013502
—
TX
05
—
159013503
—
TX
05
—
159013507
—
TX
01
—
8BZ638
BCBS
TX
01
—
8J1771
BCBS
TX
01
—
P00802524
RAILROAD
TX
Enumeration date
01/19/2006
Last updated
10/08/2025
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