Individual
KAREN MECHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
(254) 202-5849
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
665438
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP113077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168875601
—
TX
Enumeration date
04/05/2006
Last updated
09/24/2024
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