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Individual

DR. BENJAMIN DAVID SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 HOLCOMBE BLVD, UNIT 1202, HOUSTON, TX 77030-4000
(713) 563-2380
Mailing address
140 BEVERLY LN, BELLAIRE, TX 77401-5107
(210) 244-3226

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
041591
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
212815901
TX
Enumeration date
02/13/2006
Last updated
09/24/2010
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