Individual
CANDRA SONNIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2626 S LOOP W STE 525, HOUSTON, TX 77054-2654
(832) 378-8282
Mailing address
2626 S LOOP W STE 525, HOUSTON, TX 77054-2654
(832) 378-8282
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
142476
TX
Other
Enumeration date
07/30/2019
Last updated
12/28/2020
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