IndividualActive
Jacob Smith, M.D.
NPI 1104274174 · Pediatric Urology Physician · Houston, TX
Provider details
- NPI number
- 1104274174
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- BP10057661 (TX)
Mailing address
200 K St Ne Apt 1041
Washington, DC 20002-3091
Registry dates
- Enumerated
- 2016-05-31
- Last updated
- 2023-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.