Provider Demographics
NPI:1891758652
Name:SMITH, HAROLD K (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:K
Last Name:SMITH
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 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:4408 6TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-4732
Practice Address - Country:US
Practice Address - Phone:806-791-0399
Practice Address - Fax:806-791-0373
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8376207T00000X
LA322280207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84821FOtherBCBS
TX128827607Medicaid
TX335076YKT8OtherMEDICARE
TX8FN489OtherBCBS
TX128827602Medicaid