Smith Medical Clinic, a Texas Professional Association

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D7686 Issued in TX

Legal business name

SMITH MEDICAL CLINIC, A TEXAS PROFESSIONAL ASSOCIATION

Practice address

15055 East Fwy
Suite B-30
Channelview, TX 77530-4144

Phone

(281) 452-3600

Fax

(281) 452-3122

NPI assigned

Oct 8, 2012

Last updated

Oct 29, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Howard J Smith, M.D.NPI 1760410070

Title

Director

Phone

(281) 452-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Howard James Smith, MD

  • Adult Medicine Physician
  • Waller, TX
  • NPI 1760410070
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1386996874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15055 EAST FWY",
            "address_2": "SUITE B-30",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775304144",
            "telephone_number": "281-452-3600",
            "fax_number": "281-452-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15055 EAST FWY",
            "address_2": "SUITE B-30",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775304144",
            "telephone_number": "281-452-3600",
            "fax_number": "281-452-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH MEDICAL CLINIC, A TEXAS PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-452-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "D7686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D7686",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Channelview, TX
• Providers in Channelview, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.