Individual
MR. THOMAS GENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
GNP
Contact information
Practice address
7887 CAMBRIDGE ST, HOUSTON, TX 77054-2013
(713) 204-8016
Mailing address
1947 GESSNER RD # 127, HOUSTON, TX 77080-6320
(713) 204-8016
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
568565
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094081904
—
TX
01
—
568565
NURSING
TX
01
—
NP7242
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/22/2006
Last updated
08/31/2014
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