Provider Demographics
NPI:1033237979
Name:ROWE-SMITH, MICHELLE ANGELA (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:ANGELA
Last Name:ROWE-SMITH
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Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:2501 BACON RANCH RD
Mailing Address - Street 2:APT#625
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2920
Mailing Address - Country:US
Mailing Address - Phone:254-288-8007
Mailing Address - Fax:254-288-8875
Practice Address - Street 1:36000 DARNALL LOOP
Practice Address - Street 2:UROLOGY CLINIC
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-5095
Practice Address - Country:US
Practice Address - Phone:254-288-8007
Practice Address - Fax:254-288-8875
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY009939363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical