Individual
STACIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1317 LAKE POINTE PKWY, SUGAR LAND, TX 77478-3997
(281) 637-7000
Mailing address
3130 GRANTS LAKE BLVD UNIT 17863, SUGAR LAND, TX 77496-0887
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/03/2022
Last updated
01/02/2023
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