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NPI Code Detail

MEDICARE: QUINTIN JAMES SMITH MD

MEDICARE:   QUINTIN JAMES 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
1207W00000XOphthalmology PhysicianD2599TX

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 : 1598848798
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUINTIN JAMES SMITH MD
Provider Business Mailing Address
First Line : 4012 NORTH LAMAR BV
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3714
Country : US
Telephone Number : 512-454-3624
Fax Number : 512-454-1287
Provider Business Practice Location Address
First Line : 4012 NORTH LAMAR BV
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3714
Country : US
Telephone Number : 512-454-3624
Fax Number : 512-454-1287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 08/08/2007

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Directions to “ QUINTIN JAMES SMITH MD” Practice Location

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