Individual
MR. RAY D. SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Contact information
Practice address
304 GEMINI CT, VICTORIA, TX 77901-2679
(361) 575-2877
(361) 575-5111
Mailing address
PO BOX 4646, VICTORIA, TX 77903-4646
(361) 575-2877
(361) 575-5111
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
43
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPO43
TX BOARD OF P & O
TX
Enumeration date
04/14/2006
Last updated
07/08/2007
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