Provider Demographics
NPI:1346453149
Name:STEVEN J. SMITH, M.D. P.A.
Entity Type:Organization
Organization Name:STEVEN J. SMITH, M.D. P.A.
Other - Org Name:STEVEN J. SMITH, M.D. P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-359-6000
Mailing Address - Street 1:19701 KINGWOOD DR STE 6
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3773
Mailing Address - Country:US
Mailing Address - Phone:281-359-6000
Mailing Address - Fax:281-359-8006
Practice Address - Street 1:19701 KINGWOOD DR STE 6
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3773
Practice Address - Country:US
Practice Address - Phone:281-359-6000
Practice Address - Fax:281-359-8006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7619174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1881687457OtherNPI
TX742104435OtherTAX ID
TXD97716Medicare UPIN
TX742104435OtherTAX ID