Smith, Shane O

Smith, Shane O is an individual health care provider with primary practice located at 1104 Rayford Rd Ste 500 , Spring TX 77386-2621. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Shane O can be contacted via phone (281) 825-3265.

Contact Information

Primary practice address
1104 Rayford Rd Ste 500 Spring TX 77386-2621
Phone: (281) 825-3265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA08487 Texas

Profile Details

NPI number 1609199876
LBN Legal business name Smith, Shane O
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2010
Last updated Mar 14th, 2023 - about 3 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.

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