Individual
KRISTIN MASSICOT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 UNIVERSITY DR E, COLLEGE STATION, TX 77840-2642
(979) 691-3300
Mailing address
PO BOX 847556, DALLAS, TX 75284-7556
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
835278
TX
Other
Enumeration date
05/31/2013
Last updated
06/14/2016
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