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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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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