Individual
SAMUEL OKLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 BIZZELL ST, COLLEGE STATION, TX 77843-0001
(979) 845-3211
Mailing address
3014 PAPA BEAR DR, COLLEGE STATION, TX 77845-1402
(361) 212-0849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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