Individual
MARK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
22469 BIRCHFIELD GROVE LANE, NEW CANEY, TX 77357-1632
(931) 532-0440
Mailing address
22469 BIRCHFIELD GROVE LANE, NEW CANEY, TX 77357-1632
(256) 541-0562
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
95023119
CA
Other
Enumeration date
01/31/2017
Last updated
05/14/2025
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