Most Relevant Information
Provider Data
| NPI Number: | 1003537697 |
| Provider Name: | JUSTIN SMITH NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP137897 |
Most Important Dates
| Enumeration Date: | 09/12/2022 |
| Last Updated: | 11/10/2022 |
Provider Practice Location
23900 KATY FWY
KATY
TX
774941323
Practice Location Phone/Fax
| Phone: | 2816447000 |
| Fax: |
Provider Mailing Location
7519 TIERRA VERDE DR
HOUSTON
TX
770833676
Provider Mailing Phone/Fax
| Phone: | 8324656472 |
| Fax: |