MEDICARE: DR. DEAN W 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
1	207X00000X	Orthopaedic Surgery Physician	L2664	TX
2	2086S0105X	Surgery of the Hand (Surgery) Physician	L2664	TX
3	207XS0106X	Orthopaedic Hand Surgery Physician	L2664	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8BF245	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1750384749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEAN W SMITH MD

Provider Business Mailing Address
First Line	:	6400 FANNIN ST STE 1700
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1526
Country	:	US
Telephone Number	:	713-486-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5420 WEST LOOP S STE 2400
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-2118
Country	:	US
Telephone Number	:	713-486-3550
Fax Number	:	713-383-1473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/22/2019

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