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Individual

DR. DENISE LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
777 S FRY RD, SUITE 101, KATY, TX 77450-2297
(281) 398-1113
(281) 398-1114
Mailing address
826 HIDDEN CANYON RD, KATY, TX 77450-3724
(713) 412-4314

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9935
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
608098
BCBS PROVIDER NUMBER
TX
01
7599661
AETNA PROVIDER NUMBER
TX
Enumeration date
05/27/2005
Last updated
09/12/2011
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