Individual
JUSTIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
23900 KATY FWY, KATY, TX 77494-1323
(281) 644-7000
Mailing address
7519 TIERRA VERDE DR, HOUSTON, TX 77083-3676
(832) 465-6472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137897
TX
363LF0000X
Family Nurse Practitioner
AP137897
TX
Other
Enumeration date
09/12/2022
Last updated
11/10/2022
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