Individual
MR. MICHAEL T SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN/LPN BSNC P-ANP
Contact information
Practice address
13003 SHALLOW FALLS LN, PEARLAND, TX 77584-6525
(832) 788-7624
Mailing address
7205 ALMEDA RD UNIT 300171, HOUSTON, TX 77230-1059
(832) 788-7624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22630966
TX
163W00000X
Registered Nurse
342112
TX
164W00000X
Licensed Practical Nurse
342112
TX
261QC0050X
Critical Access Hospital Clinic/Center
A030599
TX
282N00000X
General Acute Care Hospital
A35992
TX
363L00000X
Nurse Practitioner
Primary
L342112
TX
390200000X
Student in an Organized Health Care Education/Training Program
A030599
TX
390200000X
Student in an Organized Health Care Education/Training Program
A35992
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2022
Last updated
09/07/2022
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