Individual
MISS ANGELA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1717 BENEDICT COURT, ROWLETT, TX 75088
(318) 469-4470
Mailing address
1717 BENEDICT COURT, ROWLETT, TX 75088
(318) 469-4470
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
637818
TX
Other
Enumeration date
10/12/2006
Last updated
08/26/2019
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