MEDICARE: SHARON ALTHEA SMITH M.D.

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	207V00000X	Obstetrics & Gynecology Physician	N2815	TX
2	207V00000X	Obstetrics & Gynecology Physician	250935-1	NY
3	207V00000X	Obstetrics & Gynecology Physician	4353	WI

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

General Provider Information

NPI Number	:	1912151044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON ALTHEA SMITH M.D.

Provider Business Mailing Address
First Line	:	2010 NORTH LOOP W STE 260
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8125
Country	:	US
Telephone Number	:	713-697-8555
Fax Number	:	713-697-8551

Provider Business Practice Location Address
First Line	:	2010 NORTH LOOP WEST
Second Line	:	SUITE 260
City	:	HOUSTON
State	:	TX
Zip	:	77018
Country	:	US
Telephone Number	:	713-697-8555
Fax Number	:	713-697-8551

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

Provider Enumeration Date	:	11/17/2008
Last Update Date	:	05/19/2026

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