MEDICARE: WHITNEY SMITH PA-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	363A00000X	Physician Assistant	PA19410	TX

General Provider Information

NPI Number	:	1457235111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY SMITH PA-C

Provider Business Mailing Address
First Line	:	5007 GIBSON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-5330
Country	:	US
Telephone Number	:	504-452-6050
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 ELLA BLVD STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2721
Country	:	US
Telephone Number	:	713-426-3337
Fax Number	:	713-861-4093

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

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	02/19/2026

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Directions to “ WHITNEY SMITH PA-C” Practice Location

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