Individual
DR. HARRY JEROME SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8333 9TH AVE, STE: G, PORT ARTHUR, TX 77462-8151
(409) 729-8088
(409) 729-8089
Mailing address
1115 MAIN STREET, PLEASANT VIEW, TN 37146-8136
(615) 746-4711
(615) 296-0952
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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