Individual
ROBERT B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 CREEK WAY DR, SUITE 201A, SUGAR LAND, TX 77478-4072
(832) 770-3180
(888) 248-5252
Mailing address
695 US HIGHWAY 46, SUITE 400A, FAIRFIELD, NJ 07004-1592
(973) 826-8080
(866) 309-3354
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA02366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181633201
—
TX
01
—
8N3694
BCBS
TX
Enumeration date
07/18/2006
Last updated
04/20/2016
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