Provider Demographics
NPI:1760410070
Name:SMITH, HOWARD JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:JAMES
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:15055 EAST FWY
Mailing Address - Street 2:SUITE B 30
Mailing Address - City:CHANNELVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:77530-4144
Mailing Address - Country:US
Mailing Address - Phone:281-452-3600
Mailing Address - Fax:281-452-3122
Practice Address - Street 1:30615 WALLER SPRING CREEK RD
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-8781
Practice Address - Country:US
Practice Address - Phone:936-931-1062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD7656173000000X
TXD7686207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered173000000XOther Service ProvidersLegal Medicine
Not Answered207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine