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Individual

EMILY QUINCY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15 WALLER ST STE 222, AUSTIN, TX 78702-5240
(979) 324-5045
Mailing address
2109 NEW YORK AVE, AUSTIN, TX 78702-1727
(979) 324-5045

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
U1771
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/06/2020
Last updated
10/30/2024
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