Smith, Jeanene Gabriel
Smith, Jeanene Gabriel is an individual health care provider with primary practice located at 106 Vision Park Blvd , Shenandoah TX 77384-3000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Smith, Jeanene Gabriel can be contacted via phone (713) 442-1800.Contact Information
Primary practice address
106 Vision Park Blvd
Shenandoah TX 77384-3000
Phone: (713) 442-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P8082 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | P8082 | Texas |
Profile Details
| NPI number | 1659628857 |
|---|---|
| LBN Legal business name | Smith, Jeanene Gabriel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2012 |
| Last updated | Nov 8th, 2016 - about 10 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 | 1659628857 | NPPES |
| Texas | MEDICAID | 356677002 | |
| Texas | MEDICAID | 356677001 |
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