Provider Demographics
NPI:1578917449
Name:AKPAN-SMART, SIMAH (AGPCNP)
Entity Type:Individual
Prefix:
First Name:SIMAH
Middle Name:
Last Name:AKPAN-SMART
Suffix:
Gender:F
Credentials:AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19227 DESERT CALICO LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2561
Mailing Address - Country:US
Mailing Address - Phone:713-820-3059
Mailing Address - Fax:832-363-1893
Practice Address - Street 1:19227 DESERT CALICO LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2561
Practice Address - Country:US
Practice Address - Phone:713-820-3059
Practice Address - Fax:832-363-1893
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130664363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care