Individual
MARCY LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1301 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1000
(512) 324-3440
(512) 406-6513
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
734860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185066101
—
TX
05
—
185066103
—
TX
05
—
185066104
—
TX
01
—
8099NM
BCBS
TX
01
—
8780NK
BCBS
TX
Enumeration date
07/13/2006
Last updated
01/20/2015
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