Individual
DEBBIE VILLARREAL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-5333
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10038781
TX
207Q00000X
Family Medicine Physician
P3453
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
P3453
TX
Other
Enumeration date
06/21/2010
Last updated
04/22/2017
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