Individual
BOBBIE GEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2011 N COLLINS BLVD STE 607, RICHARDSON, TX 75080-2636
(800) 640-3451
Mailing address
1017 BLACKTHORNE RD, FORNEY, TX 75126-3802
(501) 993-1824
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1016419
TX
363LG0600X
Gerontology Nurse Practitioner
1016419
TX
Other
Enumeration date
01/13/2021
Last updated
03/05/2024
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