Provider Demographics
NPI:1033463047
Name:JAMES M. SMITH, M.D., PLLC
Entity Type:Organization
Organization Name:JAMES M. SMITH, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-908-2700
Mailing Address - Street 1:8080 STATE HIGHWAY 121
Mailing Address - Street 2:STE. 350
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2900
Mailing Address - Country:US
Mailing Address - Phone:972-908-2700
Mailing Address - Fax:
Practice Address - Street 1:8080 STATE HIGHWAY 121
Practice Address - Street 2:STE. 350
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2900
Practice Address - Country:US
Practice Address - Phone:972-908-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5407174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN5407OtherLICENSE