Individual
KATHY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 UNIVERSITY BLVD, ROUTE 1022, GALVESTON, TX 77555-1022
(409) 747-0890
(409) 772-0885
Mailing address
301 UNIVERSITY BLVD, ROUTE 1022, GALVESTON, TX 77555-1022
(409) 747-0890
(409) 772-0885
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
582049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121594902
—
TX
Enumeration date
12/08/2006
Last updated
06/15/2009
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