Individual
MR. RANDOLPH TODD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 W ANDERSON LN, #308, AUSTIN, TX 78757-1023
(512) 454-8744
Mailing address
3300 W ANDERSON LN, #308, AUSTIN, TX 78757-1023
(512) 454-8744
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M1355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173981501
—
TX
Enumeration date
08/31/2005
Last updated
09/26/2011
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