Individual
CHAD ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4301 VISTA RD., PASADENA, TX 77504-2117
(713) 378-3050
(713) 378-3077
Mailing address
4301 VISTA RD, PASADENA, TX 77504-2117
(713) 378-3050
(713) 378-3077
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
628933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184884802
—
TX
01
—
88611U
BLUE CROSS
TX
Enumeration date
01/02/2007
Last updated
07/17/2009
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