Provider Demographics
NPI:1871897736
Name:SMITH, MAURICE CAMP (MD)
Entity type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:CAMP
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7821 N HWY 77
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:78947-9320
Mailing Address - Country:US
Mailing Address - Phone:979-255-2662
Mailing Address - Fax:
Practice Address - Street 1:32 CEMETERY RD
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:MT
Practice Address - Zip Code:59063-9429
Practice Address - Country:US
Practice Address - Phone:979-255-2662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4470207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery