Smith, Carol Ann
Smith, Carol Ann is an sole proprietor health care provider with primary practice located at 1500 Citywest Blvd Ste 300 , Houston TX 77042-2549. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Smith, Carol Ann can be contacted via phone (713) 620-4000.Contact Information
Primary practice address
1500 Citywest Blvd Ste 300
Houston TX 77042-2549
Phone: (713) 620-4000
Fax: (713) 458-4229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 458908 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 458908 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP100766 | Texas |
Profile Details
| NPI number | 1336139716 |
|---|---|
| LBN Legal business name | Smith, Carol Ann |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Aug 28th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336139716 | NPPES |
| Texas | Other | 023780 | RECERTIFICATION |
| Texas | Other | 430068751 | RECERTIFICATION |
| Texas | MEDICAID | 002846602 | RECERTIFICATION |
| Texas | MEDICAID | 002846606 | RECERTIFICATION |
| Texas | Other | 83010LL | RECERTIFICATION |
| Texas | MEDICAID | 002846607 | RECERTIFICATION |
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