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NPI Code Detail

MEDICARE: MAURISSA SMITH

MEDICARE:   MAURISSA  SMITH
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
1246Y00000XHealth Information Specialist/Technologist00087778TX

General Provider Information

NPI Number : 1104708783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURISSA SMITH
Provider Business Mailing Address
First Line : 3903 WIMBERLEY HOLLOW LN
Second Line :
City : HOUSTON
State : TX
Zip : 77053-4568
Country : US
Telephone Number : 281-310-7657
Fax Number :
Provider Business Practice Location Address
First Line : 3903 WIMBERLEY HOLLOW LN
Second Line :
City : HOUSTON
State : TX
Zip : 77053-4568
Country : US
Telephone Number : 281-310-7657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2025
Last Update Date : 07/23/2025

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Directions to “ MAURISSA SMITH ” Practice Location

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