MEDICARE: CHRISTINA 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
1	163WL0100X	Lactation Consultant (Registered Nurse)	666581	TX

General Provider Information

NPI Number	:	1235093162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA SMITH

Provider Business Mailing Address
First Line	:	1705 KNOLL CT
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-2605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1705 KNOLL CT
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-2605
Country	:	US
Telephone Number	:	214-316-9255
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ CHRISTINA SMITH ” Practice Location

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