Provider Demographics
NPI:1760627442
Name:SMITH-HART, PATRICIA L (RN, PMHNP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:L
Last Name:SMITH-HART
Suffix:
Gender:F
Credentials:RN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8511 OWEN LAKE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-4773
Mailing Address - Country:US
Mailing Address - Phone:832-483-3494
Mailing Address - Fax:713-973-0104
Practice Address - Street 1:820 GESSNER RD STE 1560
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4279
Practice Address - Country:US
Practice Address - Phone:832-483-3494
Practice Address - Fax:713-973-0104
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX699828101Y00000X
KS46026101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor