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NPI Code Detail

MEDICARE: DR. SANDRA ROCHELLE SMITH DC

MEDICARE:  DR. SANDRA ROCHELLE SMITH  DC
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
1111N00000XChiropractor15219DTX

General Provider Information

NPI Number : 1366179129
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA ROCHELLE SMITH DC
Provider Business Mailing Address
First Line : 6401 ELDORADO PKWY STE 341
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-6520
Country : US
Telephone Number : 469-625-1055
Fax Number :
Provider Business Practice Location Address
First Line : 6401 ELDORADO PKWY STE 341
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-6520
Country : US
Telephone Number : 469-625-1055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2022
Last Update Date : 01/21/2025

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Directions to “ DR. SANDRA ROCHELLE SMITH DC” Practice Location

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