Billy Smith
Case Manager/Care Coordinator in Whitesboro, OK. Individual provider (NPI-1).
NPI number1376980656
StatusActive
Last updated in NPPESMay 28, 2013
Details
- NPI
- 1376980656
- Entity type
- Individual (NPI-1)
- Name
- Billy Smith
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2013
- Last updated
- May 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | OK | Yes |
Practice location
34396 River RdWhitesboro, OK 74577-1019
Phone 918-647-6216
Mailing address
34396 River RdWhitesboro, OK 74577-1019
Phone 918-647-6216
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