Individual
MRS. KANITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
3002 MOORES LN, TEXARKANA, TX 75503
(430) 200-4350
(833) 491-2722
Mailing address
3002 MOORES LN, TEXARKANA, TX 75503-2204
(430) 200-4350
(833) 491-2722
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP143454
TX
Other
Enumeration date
10/12/2019
Last updated
12/30/2020
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