Individual
MELISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12071 FM 3522, ABILENE, TX 79601-8749
(806) 787-7580
Mailing address
7950 COUNTY ROAD 258, CLYDE, TX 79510-5916
(210) 788-8116
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1095884
TX
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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