Smith, Mark B

Smith, Mark B is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Suite 400, San Antonio TX 78723-3078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Smith, Mark B can be contacted via phone (512) 708-1234.

Contact Information

Primary practice address
1301 Barbara Jordan Blvd Suite 400 San Antonio TX 78723-3078
Phone: (512) 708-1234
Fax: (512) 708-4567
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H1021 Texas
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X H1021 Texas

Profile Details

NPI number 1063415446
LBN Legal business name Smith, Mark B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Oct 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063415446 NPPES
Texas MEDICAID 112887801
Texas MEDICAID 139781201

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