Organization
LYNELL SMITH
Active
Other names
A Devoted care Provider
Organization subpart
No
Provider details
NPI number
Authorized official
LYNELL SMITH (OWNER)
(281) 638-0224
Entity
Organization
Contact information
Practice address
9203 HIGHWAY 6 S STE 124-269, HOUSTON, TX 77083-6386
(281) 638-0224
Mailing address
9203 HIGHWAY 6 S, SUITE 124 BOX 269, HOUSTON, TX 77083-6386
(281) 638-0224
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
001008050
TX
251B00000X
Case Management Agency
Primary
001008051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001008050
CONTRACT NUMBER
TX
01
—
001008051
CONTRACT NUMBER
TX
Enumeration date
06/06/2007
Last updated
03/02/2020
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