Mark B Smith
Surgeon Pediatric Surgery
1301 Barbara Jordan Blvd Suite 400
San Antonio
, Texas 78723-3078
Mark B Smith
Surgeon Pediatric Surgery
1301 Barbara Jordan Blvd Suite 400
San Antonio
, Texas 78723-3078
(512) 708-4567
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About
Features
Specialties
- Surgeon
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Mark B Smith
- 1301 Barbara Jordan Blvd Ste 400
- Austin, TX
- Zip : 78723-3078
- Fax : (512) 708-4567
- Phone : (512) 708-1234
Second Address
- Mark B Smith
- 1301 Barbara Jordan Blvd Suite 400
- San Antonio, TX
- Zip : 78723-3078
- Fax : (512) 708-4567
- Phone : (512) 708-1234
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | H1021 | TX |
| Y | 208600000X | Surgeon | H1021 | TX |
| N | 2086S0120X | Pediatric Surgery | H1021 | TX |
National Provider Identifier
| NPI | 1063415446 |
|---|---|
| Provider Name | Mark B Smith |
| First Address | Austin, TX 78723-3078 |
| Second Address | San Antonio, TX 78723-3078 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2005 |
| Last Update Date | 08/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 112887801 | (05) | TX |
| 139781201 | (05) | TX |
| E94579 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.