Individual
AVA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8441 STATE HIGHWAY 47 STE 1400, BRYAN, TX 77807-3208
(979) 774-8200
(877) 601-5854
Mailing address
2900 E 29TH ST STE 100, BRYAN, TX 77802-2623
(979) 776-8440
(877) 601-5854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11972
TX
Other
Enumeration date
05/30/2018
Last updated
08/19/2020
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