Individual
MARTIESA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 E PLUM ST, ANGLETON, TX 77515-5043
(979) 479-6193
Mailing address
PO BOX 268, BAY CITY, TX 77404-0268
(979) 313-8148
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
Other
Enumeration date
07/13/2023
Last updated
09/12/2023
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