Individual
MISS KEAMAK DENISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 WEST LOOP S STE 200, HOUSTON, TX 77027-4208
(866) 424-9202
(866) 855-6282
Mailing address
1546 QUAIL TRACE DR, MISSOURI CITY, TX 77489-5252
(281) 773-1079
(866) 855-6282
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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