NPI 1710671722

Tony D Smith

Practitioner Driver Porter, TX

Practice location

Address: 25435 Northpark Lake Dr, Porter, TX 77365-7441
Phone: (216) 259-2299

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 46342585 (TX)

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Registry record

NPI: 1710671722
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2023
Record last updated: 5 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.