Healthcare Provider Details

I. General information

NPI: 1629561477
Provider Name (Legal Business Name): CHRISTINA YVETTE SMITH PNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 E MAYFIELD RD STE 115
ARLINGTON TX
76014-2605
US

IV. Provider business mailing address

122 W JOHN CARPENTER FWY STE 420
IRVING TX
75039-2014
US

V. Phone/Fax

Practice location:
  • Phone: 682-276-6700
  • Fax:
Mailing address:
  • Phone: 972-957-3000
  • Fax: 972-329-0042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP137286
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: