Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | Q0567 | TX |
Y | 2080P0204X | Pediatric Emergency Doctor | Q0567 | TX |
NPI | 1295981413 |
---|---|
Provider Name | Hannah Elizabeth Smith |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 20/03/2019 |