Provider Demographics
NPI:1932289196
Name:SMITH, CLAUDIUS GREGORY (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDIUS
Middle Name:GREGORY
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 1:800 PEAKWOOD
Mailing Address - Street 2:STE 5F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090
Mailing Address - Country:US
Mailing Address - Phone:281-583-8674
Mailing Address - Fax:281-583-0409
Practice Address - Street 1:800 PEAKWOOD
Practice Address - Street 2:STE 5F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090
Practice Address - Country:US
Practice Address - Phone:281-583-8674
Practice Address - Fax:281-583-0409
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2483207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121169001Medicaid
TX121100691Medicaid
TX00TF48OtherBCBS
TXF64686Medicare UPIN
TX121100691Medicaid