Provider Demographics
NPI:1477537926
Name:SMIT, JOZEF LIZARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOZEF
Middle Name:LIZARDO
Last Name:SMIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 COLORADO BEND DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-6958
Mailing Address - Country:US
Mailing Address - Phone:512-773-5194
Mailing Address - Fax:
Practice Address - Street 1:1510 COLORADO BEND DR
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6958
Practice Address - Country:US
Practice Address - Phone:512-773-5194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3315207P00000X, 2083P0901X
IN01058119A207P00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine