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Individual

DR. HARRY JEROME SMITH

Active
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Individual

DR. HARRY JEROME SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
K1065
TX
207RX0202X
Medical Oncology Physician
Primary
K1065
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122250702
TX
01
E76494
UPIN
TX
Enumeration date
06/10/2006
Last updated
12/27/2011
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