Shane O. Smith, PA-C

Physician Assistant · Spring, TX

Individual Active NPI

NPI number 1609199876

Practice location

1104 Rayford Rd Ste 500
Spring, TX 77386-2621
Phone
(281) 825-3265

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NPI record

NPI
1609199876
Entity type
Individual (Type 1)
Enumeration date
March 2, 2010
Last updated
March 14, 2023
Certified
May 11, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA08487 TX
Physician Assistant 363A00000X — —

Mailing address

16840 Buccaneer Ln Ste 202
Houston, TX 77058-2570
Phone
(281) 991-2200
Fax
(281) 991-7700

About Shane Smith

Shane O. Smith, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1104 Rayford Rd Ste 500, Spring, TX 77386-2621. The NPI number 1609199876 was assigned on March 2, 2010 and the record was last updated on March 14, 2023.

Shane Smith lists a license in the registry: #PA08487 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane O. Smith, PA-C?

The NPI number is 1609199876.

What is the phone number of Shane Smith?

The phone number listed for the practice location is (281) 825-3265.

Where is Shane Smith located?

1104 Rayford Rd Ste 500, Spring, TX 77386-2621.

What is the taxonomy code for Shane Smith?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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