Individual
MICHAEL ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
100 N AVENUE D, BURKBURNETT, TX 76354-3509
(940) 569-3381
(940) 569-2499
Mailing address
901 PARK PLAZA DR, IOWA PARK, TX 76367-1136
(817) 925-0251
Taxonomy
Speciality
Code
Description
License number
State
163WN0003X
Low-Risk Neonatal Registered Nurse
869768
TX
163WP0200X
Pediatric Registered Nurse
869768
TX
163WS0200X
School Registered Nurse
Primary
869768
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
869768
TEXAS BOARD OF NURSING
TX
Enumeration date
08/12/2021
Last updated
01/18/2024
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