Healthcare Provider Details

I. General information

NPI: 1023974052
Provider Name (Legal Business Name): DEVYN SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 N IH 35 STE 700
AUSTIN TX
78705-1852
US

IV. Provider business mailing address

3000 N IH 35 STE 700
AUSTIN TX
78705-1852
US

V. Phone/Fax

Practice location:
  • Phone: 512-544-2342
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA20670
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: