Derek Smith, AGPCNP-BC
Nurse Practitioner, Gerontology in Houston, TX. Individual provider (NPI-1).
NPI number1669908802
StatusActive
Last updated in NPPESMay 9, 2017
Details
- NPI
- 1669908802
- Entity type
- Individual (NPI-1)
- Name
- Mr. Derek Smith
- Credential
- AGPCNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2017
- Last updated
- May 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | AP133835 | TX | Yes |
Practice location
3701 Kirby DrSuite 1230
Houston, TX 77098-3900
Phone 713-526-0005
Mailing address
3701 Kirby DrSuite 1230
Houston, TX 77098-3900
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