Individual
SAMANTHA MAXINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3417 GASTON AVE STE 600, DALLAS, TX 75246-2030
(972) 817-6170
Mailing address
1446 PEBBLE WAY, ALLEN, TX 75013-5119
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1168300
TX
Other
Enumeration date
10/01/2025
Last updated
11/20/2025
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