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Organization
UTMB
Active
Organization
UTMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA K SMOCK APN (PROVIDER)
(281) 269-6700
Entity
Organization
Contact information
Practice address
12603 SOUTHWEST FWY STE 335, STAFFORD, TX 77477-3842
(281) 269-6700
(281) 265-5163
Mailing address
12603 SOUTHWEST FWY STE 335, STAFFORD, TX 77477-3842
(281) 269-6700
(281) 265-5163
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
233196
TX
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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