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1104274174
JACOB CARL SMITH
HOUSTON, TX
NPI
1104274174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2088P0231X
(Licence: TX U4634)
Additional Taxonomies
208800000X Urology
(Licence: TX BP10057661)
Enumeration Date
2016-05-31
Last Update Date
2023-06-13
Business Address
JACOB CARL SMITH M.D.
6621 FANNIN ST
HOUSTON, TX 77030-2399
Phone number: 832-824-1000
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Mailing Address
JACOB CARL SMITH M.D.
200 K ST NE APT 1041
WASHINGTON, DC 20002-3091
Phone number:
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