Smb Healthcare Services
Family Medicine in Killeen, TX. Organization (NPI-2).
NPI number1164056750
StatusActive
Last updated in NPPESDec 16, 2024
Details
- NPI
- 1164056750
- Entity type
- Organization (NPI-2)
- Legal business name
- Smb Healthcare Services
- Organization subpart
- No
- Enumeration date
- Feb 24, 2020
- Certification date
- Dec 16, 2024
- Last updated
- Dec 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
4200 W Stan Schlueter Loop Ste A104Killeen, TX 76549-5725
Phone 601-454-1847
Mailing address
4200 W Stan Schlueter Loop Ste A104Killeen, TX 76549-5725
Phone 601-454-1847
Authorized official
Stacy Maurice Brown
Nurse Practitioner / Owner
6014541847
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