Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | AP142892 | TX |
NPI | 1013567981 |
---|---|
Provider Name | Lindsey Smith |
First Address | Conroe, TX 77301-3099 |
Second Address | Conroe, TX 77301-3099 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2019 |
Last Update Date | 29/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AP142892 | TEXAS BOARD OF NURSING (01) | TX |