Organization
DEAN SMITH MD PA
Active
Organization
DEAN SMITH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN W SMITH MD (PRESIDENT)
(713) 524-0580
Entity
Organization
Contact information
Practice address
6400 FANNIN ST STE 2080, HOUSTON, TX 77030-1532
(713) 524-0580
(713) 524-0581
Mailing address
6400 FANNIN ST STE 2080, HOUSTON, TX 77030-1532
(713) 524-0580
(713) 524-0581
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102RM
BCBS
TX
05
—
165474101
—
TX
Enumeration date
10/15/2007
Last updated
10/14/2010
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