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Individual

MRS. KORNINTHIA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
5230 ALDINE MAIL RTE, HOUSTON, TX 77039-3804
(281) 598-3300
Mailing address
122 W JOHN CARPENTER FWY STE 420, IRVING, TX 75039-2014
(972) 957-3000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP141624
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23498
FNP-BC
TN
Enumeration date
01/25/2018
Last updated
10/08/2019
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