Individual
AMY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24929 KATY RANCH RD APT 15411, KATY, TX 77494-3777
(281) 796-3123
Mailing address
24929 KATY RANCH RD APT 15411, KATY, TX 77494-3777
(281) 796-3123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
905224
TX
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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