# MR. MICHAEL T SMITH JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1457093304
- **Gender:** Man
- **Credential:** LVN/LPN BSNC P-ANP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 22630966 | TX | — |
| 163W00000X | Registered Nurse | 342112 | TX | — |
| 164W00000X | Licensed Practical Nurse | 342112 | TX | — |
| 261QC0050X | Critical Access Hospital Clinic/Center | A030599 | TX | — |
| 282N00000X | General Acute Care Hospital | A35992 | TX | — |
| 363L00000X | Nurse Practitioner | L342112 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | A030599 | TX | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | A35992 | TX | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 04/11/2022
- **Last updated:** 09/07/2022