Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP136020 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | AP136020 | TX |
NPI | 1053827972 |
---|---|
Provider Name | Alar Smith |
First Address | Houston, TX 77041-8224 |
Second Address | Houston, TX 77041-8224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2017 |
Last Update Date | 17/11/2021 |