Individual
SCOTT A. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 CAMPUS VILLAGE DR STE 100, ROUND ROCK, TX 78665-3025
(512) 439-1000
Mailing address
4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
J9922
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
J9922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1254765-02
CSHCN
TX
05
—
1254765-02
—
TX
05
—
1410649-01
—
TX
01
—
84291N
BC/BS
TX
Enumeration date
06/09/2005
Last updated
02/24/2025
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