Individual
RAELANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(601) 749-5812
(601) 749-5812
Mailing address
PO BOX 1411, SLIDELL, LA 70459-1411
(601) 749-5812
(601) 749-5812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K8690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030268907
—
TX
01
—
8M8692
BCBS
TX
Enumeration date
03/22/2006
Last updated
01/10/2020
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