Individual
DR. CHARLES H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 E 29TH ST STE 105, BRYAN, TX 77802-2507
(979) 776-0750
(979) 774-0001
Mailing address
2700 E 29TH ST STE 105, BRYAN, TX 77802-2507
(979) 776-0750
(979) 774-0001
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J7377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045024901
—
TX
Enumeration date
04/26/2006
Last updated
08/23/2023
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