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Individual

ALEXA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2800 E BROAD ST #304, MANSFIELD, TX 76063
(817) 477-5500
(817) 453-5503
Mailing address
2800 E BROAD ST STE 304, MANSFIELD, TX 76063-6412
(817) 477-5500
(817) 453-5503

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP143645
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP143645
TEXAS BON
TX
Enumeration date
12/28/2019
Last updated
03/08/2023
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