Organization
SPARTA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER SMITH NP (NURSE PRACTITIONER)
(504) 914-6005
Entity
Organization
Contact information
Practice address
27350 BLUEBERRY HILL DR, SUITE 10, CONROE, TX 77385-8963
(504) 914-6005
Mailing address
27350 BLUEBERRY HILL DR, SUITE 10, CONROE, TX 77385-8963
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
AP123540
TX
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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