Teresa Diane Smoot

NPI #1215433941 in Canyon, Texas

Provider Information

NPI Number
1215433941
Entity Type
Individual
Name
Teresa Diane Smoot
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Apr 2, 2018
Last Updated
Apr 2, 2018

Practice Location

Address
2403 RUSSELL LONG BLVD
City
Canyon
State
Texas
ZIP Code
79016-0005
Phone
(806) 651-4100

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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