Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | 1593956 | TX |
NPI | 1346736998 |
---|---|
Provider Name | Erin D Smith |
First Address | Aubrey, TX 76227-1437 |
Second Address | Carrollton, TX 75010-6311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2018 |
Last Update Date | 22/10/2020 |