Provider Demographics
NPI:1245802230
Name:SMITH, CHRISTOPHER M (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:M
Last Name:SMITH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3100 SAM RAYBURN HWY
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-2663
Mailing Address - Country:US
Mailing Address - Phone:469-823-1505
Mailing Address - Fax:
Practice Address - Street 1:3100 SAM RAYBURN HWY
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-2663
Practice Address - Country:US
Practice Address - Phone:469-215-2366
Practice Address - Fax:469-215-2377
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-11
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX692100213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery