Most Relevant Information
Provider Data
| NPI Number: | 1003650797 |
| Provider Name: | EMILY ROSE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2024 |
| Last Updated: | 06/19/2024 |
Provider Practice Location
400 BIZZELL ST
COLLEGE STATION
TX
778430001
Practice Location Phone/Fax
| Phone: | 8306209124 |
| Fax: |
Provider Mailing Location
867 SAN IGNACIO
NEW BRAUNFELS
TX
781322907
Provider Mailing Phone/Fax
| Phone: | 8306209124 |
| Fax: |