Individual
MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 N LAMAR BLVD, AUSTIN, TX 78751-1073
(512) 324-1891
Mailing address
5555 N LAMAR BLVD, AUSTIN, TX 78751-1073
(512) 324-1891
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85892
TX
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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