Individual
MR. CRAIG M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1731 W WHEELER AVE, ARANSAS PASS, TX 78336-4536
(361) 758-2799
(361) 758-2707
Mailing address
1731 W WHEELER AVE, ARANSAS PASS, TX 78336-4536
(361) 758-2799
(361) 758-2707
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00096
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133365008
—
TX
Enumeration date
05/26/2006
Last updated
01/06/2011
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