Individual
MICHAEL JALEON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14206 LONG MEADOW DR, HOUSTON, TX 77047-4597
(281) 795-1336
Mailing address
6201 BONHOMME RD, HOUSTON, TX 77036-4365
(832) 862-7997
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463386595
—
TX
Enumeration date
01/25/2019
Last updated
01/25/2019
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