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General NPI Number Information
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NPI Number | 1508892555
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Entity Type | Individual
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Provider Name | CRAIG SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | 6410 FANNIN ST SUITE 724B
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City | HOUSTON
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State | TX
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Zip | 77030-3000
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Country | US
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Telephone | 832-325-7321
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 LOUISIANA ST STE 400 NUMBER 920
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City | HOUSTON
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State | TX
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Zip | 77006-2318
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Country | US
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Telephone | 813-957-1031
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME84838
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N2813
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License Number State | TX
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