Most Relevant Information
Provider Data
| NPI Number: | 1003224957 |
| Provider Name: | BRIAN SMITH M.S., LAT, ATC, CSCS |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT5932 |
Most Important Dates
| Enumeration Date: | 07/23/2014 |
| Last Updated: | 06/07/2016 |
Provider Practice Location
11400 CONCORDIA UNIVERSITY DR
AUSTIN
TX
787261887
Practice Location Phone/Fax
| Phone: | 5123134528 |
| Fax: |
Provider Mailing Location
3251 AUSTINS COLONY PKWY
BRYAN
TX
778082276
Provider Mailing Phone/Fax
| Phone: | 9792097929 |
| Fax: | 9792097943 |