Individual
JACK COLDWELL SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 COTTAGE RD, CARTHAGE, TX 75633-1466
(903) 694-4824
(903) 694-4621
Mailing address
409 COTTAGE RD, CARTHAGE, TX 75633-1466
(036) 944-8249
(903) 694-4621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L3131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159534003
—
TX
Enumeration date
06/19/2006
Last updated
05/04/2023
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