Individual
MRS. BRANDY MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
99 QUAIL BROOK DR, TEXARKANA, TX 75501-2062
(903) 733-4932
Mailing address
99 QUAIL BROOK DR, TEXARKANA, TX 75501-2062
(903) 733-4932
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
AP134845
TX
363L00000X
Nurse Practitioner
Primary
AP134845
TX
Other
Enumeration date
10/18/2017
Last updated
08/16/2023
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