Ava Gale Smith in Fort Worth - Psychiatric/mental Health

Ava Gale Smith - NPI 1396806774

Ava Gale Smith is a Psychiatric/mental Health in Fort Worth, Texas. Ava Gale Smith practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Ava Gale Smith is 1396806774. The last update date is 2013-05-01.

Ava Gale Smith's current location address is Po Box 2603, Fort Worth, Texas. You can contact this provider via phone number 8175694396 and fax number 8175694517. The mailing address for Ava Gale Smith is Po Box 2603, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Ava Gale Smith
Address Po Box 2603, Fort Worth, Texas
Phone Number 8175694396
Fax Number 8175694517
Sole Proprietor N
Credentials R.N., P.M.

NPI Number Detail

NPI Number 1396806774
Provider Enumeration Date 2006-12-12
Last Updated Date 2013-05-01

Provider Mailing Address Detail

Address Po Box 2603
City Fort Worth
State Texas (TX)
Post Code 761132603
Phone Number 8175694396
Fax Number 8175694517

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No 235655
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
86N92S TX BLUE CROSS BLUE SHIELD OF TEXA
88277101 TX --
88277103 TX --
88277102 TX --

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FAQs about Ava Gale Smith

What is the unique 10-digit identification code assigned to Ava Gale Smith by the Centers for Medicare & Medicaid Services?

The Ava Gale Smith has been issued the NPI (National Provider Identifier) 1396806774, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Ava Gale Smith is located?

The Ava Gale Smith is situated at the following address: Po Box 2603, Fort Worth, TX, 761132603.

What is Ava Gale Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ava Gale Smith is Psychiatric/mental Health, and the taxonomy code that categorizes this field of expertise is 363Lp0808X.

When was the Ava Gale Smith's 1396806774 issued?

The Ava Gale Smith's 1396806774 was issued on 2006-12-12.

As of what date were the Ava Gale Smith's details last updated?

The information pertaining to the Ava Gale Smith, including its address, specialty, and other details, was most recently updated on 2013-05-01.

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