Individual
BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD., GALVESTON, TX 77555-1022
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD., PROVIDER ENROLLMENT -- RT. 1022, GALVESTON, TX 77555-1022
(409) 747-0890
(409) 772-0885
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
K9175
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
K9175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037700401
—
TX
Enumeration date
10/02/2006
Last updated
08/18/2025
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