Provider Demographics
NPI:1558611368
Name:SMITH, HERBERT (LPO)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:
Last Name:SMITH
Suffix:
Gender:M
Credentials:LPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8800 BISSONNET ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2435
Mailing Address - Country:US
Mailing Address - Phone:713-981-5555
Mailing Address - Fax:713-981-4555
Practice Address - Street 1:8800 BISSONNET ST
Practice Address - Street 2:SUITE J
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2435
Practice Address - Country:US
Practice Address - Phone:713-981-5555
Practice Address - Fax:713-981-4555
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1405222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist