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Madeline Grace Smith, LAT,ATC
Student in an Organized Health Care Education/Training Program in Beaumont, Texas
NPI 1518569664

Madeline Grace Smith is a Student in an Organized Health Care Education/Training Program based in Beaumont, TX. Madeline Grace Smith practices in Beaumont, TX and has the professional credentials of LAT,ATC. The NPI Number for Madeline Grace Smith is 1518569664 and holds a License No. (Texas).

The current practice location address for Madeline Grace Smith is 4400 S M L King Jr Pkwy, Beaumont, TX and can be reached out via phone at 409-880-2359.

Location: 4400 S M L King Jr Pkwy, Beaumont, TX, 77710-0066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518569664
Provider Name
Madeline Grace Smith
Credential
LAT,ATC
Provider Entity Type
Individual
Gender
Female
Address
4400 S M L King Jr Pkwy, Beaumont, TX, 77710-0066
Phone Number
409-880-2359
Fax Number
Provider Enumeration Date
11/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4400 S M L King Jr Pkwy
City
Beaumont
State
Texas
Zip
77705-5748
Phone Number
409-880-2359
Fax Number
person
Provider Business Mailing Address Details
Address
4400 S M L King Jr Pkwy
City
Beaumont
State
Texas
Zip
77705-5748
Phone Number
409-880-2359
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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