MEDICARE: ROSLYN 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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1790649143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSLYN SMITH

Provider Business Mailing Address
First Line	:	6719 DAYRIDGE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77048-1066
Country	:	US
Telephone Number	:	713-505-1269
Fax Number	:

Provider Business Practice Location Address
First Line	:	2855 MANGUM RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-7493
Country	:	US
Telephone Number	:	713-505-1269
Fax Number	:

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

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ ROSLYN SMITH ” Practice Location

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