Individual
JUDSON P SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PA
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D9667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004246771
AETNA
TX
01
—
1215156120
BLUE CROSS BLUE SHIELD
TX
05
—
1493934-01
—
TX
01
—
180000666
RAILROAD MEDICARE
TX
Enumeration date
04/12/2006
Last updated
07/20/2010
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