Individual
ALEX JASON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2107 COURTHOUSE DR STE 103, LONGVIEW, TX 75605-2355
(903) 295-1938
(903) 295-5902
Mailing address
2107 COURTHOUSE DR STE 103, LONGVIEW, TX 75605-2355
(903) 295-1938
(903) 295-5902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K1064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00435364
RR MEDICARE
TX
Enumeration date
06/22/2005
Last updated
02/03/2019
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