Provider Demographics
NPI:1770585226
Name:SMITH, CHRISTOPHER K (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
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 1:18400 KATY FWY STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1295
Mailing Address - Country:US
Mailing Address - Phone:281-690-4678
Mailing Address - Fax:
Practice Address - Street 1:18400 KATY FWY STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1295
Practice Address - Country:US
Practice Address - Phone:281-690-4678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7898207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01086519OtherRR MEDICARE
TX157059005Medicaid
TX157059007Medicaid
TXP00668645OtherMEDICARE RAILROAD
TX157059004Medicaid
TX610119705OtherUS DEPT OF LABOR
TX157059002Medicaid
TX157059003Medicaid
TX157059006Medicaid
TX8BN482OtherBLUE CROSS BLUE SHIELD
TX8DZ188OtherBLUE CROSS BLUE SHIELD
TX157059003Medicaid
TXTXB151695Medicare PIN
TX8L9972Medicare PIN
TX8DZ188OtherBLUE CROSS BLUE SHIELD
TXP01086519OtherRR MEDICARE
TX157059004Medicaid