Organization
FIRM FOUNDATIONS HEALTHCARE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JANEL SMITH (CO-OWNER)
(936) 334-8800
Entity
Organization
Contact information
Practice address
2708 JEFFERSON DR STE A, LIBERTY, TX 77575-1036
(936) 334-8800
(936) 334-8801
Mailing address
2708 JEFFERSON DR STE A, LIBERTY, TX 77575-1036
(936) 334-8800
(936) 334-8801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A0340
PTAN
TX
Enumeration date
10/23/2008
Last updated
02/27/2023
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