Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | E4683 | TX |
N | 111NI0900X | Internist | E4683 | TX |
Y | 207RC0000X | Internist - Cardiovascular Disease | E4683 | TX |
N | 207RI0011X | Interventional Cardiology | E4683 | TX |
NPI | 1093733321 |
---|---|
Provider Name | Richard W Smalling |
First Address | Houston, TX 77216-1088 |
Second Address | Houston, TX 77030-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 18/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
88Y843 | BCBS (01) | TX |
C21905 | (02) | TX |