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NPI Code Detail

MEDICARE: DR. MAHALIA DOROTHY SMITH MD

MEDICARE: DR. MAHALIA DOROTHY SMITH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianJ7289TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548219371
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAHALIA DOROTHY SMITH MD
Provider Business Mailing Address
First Line : 6431 FANNIN ST
Second Line : MSB 1.246
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-704-5908
Fax Number :
Provider Business Practice Location Address
First Line : 1333 MOURSUND ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3408
Country : US
Telephone Number : 713-797-5925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 09/29/2025

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