Individual
MR. FERRIL CHRIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4104 REYNOSA DR, AUSTIN, TX 78739
(512) 750-0019
(512) 520-5589
Mailing address
4104 REYNOSA DR, AUSTIN, TX 78739
(512) 750-0019
(512) 520-5589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G0136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097241602
—
TX
Enumeration date
09/05/2006
Last updated
01/06/2020
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