Individual
HOLLY BENTZ SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17183 I H 45 S STE 530, SHENANDOAH, TX 77385
(936) 270-3844
(936) 271-2787
Mailing address
17183 I H 45 S STE 530, SHENANDOAH, TX 77385-3314
(936) 270-3844
(936) 271-2787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R0135
TX
207RR0500X
Rheumatology Physician
Primary
R0135
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10046699
TEXAS STATE BOARD
TX
Enumeration date
03/25/2012
Last updated
10/02/2018
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