Individual
MR. KENNETH MONDRE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9652 KATY FWY, HOUSTON, TX 77055-6322
(346) 719-6880
(713) 464-6804
Mailing address
9652 KATY FWY, HOUSTON, TX 77055-6322
(346) 719-6880
(713) 464-6804
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06722
TX
Other
Enumeration date
08/10/2010
Last updated
12/10/2024
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