Individual
DR. DOUGLAS ALEXANDER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1631 LANCASTER DR STE 230, GRAPEVINE, TX 76051-3586
(817) 912-8380
Mailing address
1631 LANCASTER DR STE 230, GRAPEVINE, TX 76051-3586
(817) 912-8380
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
02995
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200591410A
—
OK
Enumeration date
04/07/2009
Last updated
08/29/2023
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