Provider Demographics
NPI:1518461896
Name:SMITH, CURTIS LEE (HAIR REPLACEMENT)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:LEE
Last Name:SMITH
Suffix:
Gender:M
Credentials:HAIR REPLACEMENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-8206
Mailing Address - Country:US
Mailing Address - Phone:888-472-6308
Mailing Address - Fax:
Practice Address - Street 1:1512 WINDSOR DR
Practice Address - Street 2:
Practice Address - City:GLENN HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:75154-8206
Practice Address - Country:US
Practice Address - Phone:888-472-6308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies