Individual
MICHAEL TIMOTHY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 GASTON AVE STE 261, DALLAS, TX 75246-1902
(972) 966-7830
Mailing address
1111 NORTHPOINT DR, COPPELL, TX 75019-3831
(972) 966-7827
(972) 966-7899
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
16878
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
U0660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G31326
—
SC
Enumeration date
07/26/2006
Last updated
01/18/2024
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