NPI 1023500709

Ava Smith, PA

Practitioner Physician Assistant Bryan, TX

Practice location

Address: 8441 State Highway 47 STE 1400, Bryan, TX 77807-3208
Phone: (979) 774-8200
Fax: (877) 601-5854
Mailing address: 2900 E 29th St STE 100, Bryan, TX 77802-2623

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA11972 (TX)

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Registry record

NPI: 1023500709
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2018
Record last updated: 19 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.