Individual
DR. JOHN CHRISTOPHER SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 753-3627
(254) 200-4090
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4090
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H4708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123376905
SUPERIOR HEALTH CHIP
TX
05
—
123376905
—
TX
01
—
8A4081
BLUE CROSS BLUE SHIELD
TX
01
—
H4708
TWCC
TX
01
—
P00033862
RAILROAD MEDICARE
TX
Enumeration date
12/15/2005
Last updated
07/08/2007
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