Individual
MR. DEREK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
3701 KIRBY DR, SUITE 1230, HOUSTON, TX 77098-3900
(713) 526-0005
Mailing address
3701 KIRBY DR, SUITE 1230, HOUSTON, TX 77098-3900
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP133835
TX
Other
Enumeration date
05/09/2017
Last updated
05/09/2017
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