Individual
MOLLY KATHLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 233-1999
Mailing address
PO BOX 850853, DALLAS, TX 75284-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP144652
TX
390200000X
Student in an Organized Health Care Education/Training Program
921610
TX
Other
Enumeration date
01/21/2020
Last updated
06/08/2021
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