Individual
SHADOW M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9898 BISSONNET ST, SUITE 295, HOUSTON, TX 77036-8270
(713) 773-9204
Mailing address
9898 BISSONNET ST, SUITE 295, HOUSTON, TX 77036-8270
(713) 773-9204
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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