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Individual

CORNELL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6623 RENFRO DR, RICHMOND, TX 77469-5951
(832) 969-4870
(281) 232-1949
Mailing address
6623 RENFRO DR, RICHMOND, TX 77469-5951
(832) 969-4870

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11349
TX
225200000X
Physical Therapy Assistant
Primary
2054358
TX

Other

Enumeration date
05/03/2007
Last updated
03/30/2010
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