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NPI Verification

National Provider Identifier: 1104274174

Jacob Carl Smith, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology, Pediatric Urology

Code: 2088P0231X

All Specialties (2)

Urology

Code: 208800000X

Urology, Pediatric Urology

Code: 2088P0231X

Primary

Practice Address

6621 FANNIN ST

HOUSTON, TX 770302399

Phone: 832-824-1000

NPI Enumeration Date

May 31, 2016

NPI Number

1104274174

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Jacob Smith, M.d. - NPI 1104274174 | Provider Verification | HormoneMap