Basic Information
| Provider Information | |||||||||
| NPI: | 1942335245 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SMITH | ||||||||
| FirstName: | LANCE | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7700 MAIN ST | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770304456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7139737246 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7700 MAIN ST | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770304456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7139737246 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2007 | ||||||||
| LastUpdateDate: | 07/11/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | J5646 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 208600000X | J5646 | TX | Y | Allopathic & Osteopathic Physicians | Surgery | 207L00000X | J5646 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.