MEDICARE: DR. CURTRELL L SMITH FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP08306	LA
2	363LP2300X	Primary Care Nurse Practitioner	1108858	TX

General Provider Information

NPI Number	:	1265803464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTRELL L SMITH FNP-C

Provider Business Mailing Address
First Line	:	515 W GREENS RD STE 1-243
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77067-4531
Country	:	US
Telephone Number	:	225-998-4555
Fax Number	:	708-360-7881

Provider Business Practice Location Address
First Line	:	515 W GREENS RD STE 1-243
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77067-4531
Country	:	US
Telephone Number	:	281-475-1032
Fax Number	:	708-360-7881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2015
Last Update Date	:	04/15/2026

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