Provider Demographics
NPI:1841546447
Name:SMITH, JONATHAN (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7777 SOUTHWEST FWY
Mailing Address - Street 2:SUITE # 304
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1802
Mailing Address - Country:US
Mailing Address - Phone:713-270-4545
Mailing Address - Fax:713-270-9197
Practice Address - Street 1:7777 SOUTHWEST FWY
Practice Address - Street 2:SUITE #304
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1802
Practice Address - Country:US
Practice Address - Phone:713-270-4545
Practice Address - Fax:713-270-9197
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2019-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP6090207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology