Most Relevant Information
Provider Data
| NPI Number: | 1003549510 |
| Provider Name: | STACIE SMITH MS, RD, LD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/03/2022 |
| Last Updated: | 01/02/2023 |
Provider Practice Location
1317 LAKE POINTE PKWY
SUGAR LAND
TX
774783997
Practice Location Phone/Fax
| Phone: | 2816377000 |
| Fax: |
Provider Mailing Location
3130 GRANTS LAKE BLVD UNIT 17863
SUGAR LAND
TX
774960887
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |