Individual
CAROL ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
458908
TX
367500000X
Certified Registered Nurse Anesthetist
458908
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP100766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002846602
—
TX
05
—
002846606
—
TX
05
—
002846607
—
TX
01
—
023780
RECERTIFICATION
TX
01
—
430068751
RAILROAD MEDICARE
TX
01
—
83010LL
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
10/26/2005
Last updated
08/28/2020
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