Provider Demographics
NPI:1497141378
Name:SMITH, DARWIN (MD)
Entity Type:Individual
Prefix:
First Name:DARWIN
Middle Name:
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2115 STEPHENS PL STE 1330
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2134
Mailing Address - Country:US
Mailing Address - Phone:830-463-2856
Mailing Address - Fax:830-468-6129
Practice Address - Street 1:3212 NAPIER PARK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1522
Practice Address - Country:US
Practice Address - Phone:210-545-5111
Practice Address - Fax:830-468-6129
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS6528207L00000X, 208VP0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program