Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2413 | TX |
N | 111NN0400X | Neurology | 2413 | TX |
N | 111NS0005X | Chiropractic Sports Physician | 2413 | TX |
NPI | 1891832713 |
---|---|
Provider Name | Dr. Gary F. Smouse |
First Address | Sugar Land, TX 77478-3554 |
Second Address | Sugar Land, TX 77478-3554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 17/10/2011 |