Individual
MADALYNE RIDEAU SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1941 EAST RD, HOUSTON, TX 77054-6010
(713) 486-2700
Mailing address
1941 EAST RD, HOUSTON, TX 77054-6010
(713) 486-2700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141466
TX
Other
Enumeration date
04/24/2019
Last updated
08/01/2024
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