Provider Demographics
NPI:1942085063
Name:SMITH, BRITTANY ANN (CPM, LM)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:SMITH
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 BOBBYWOODS LN
Mailing Address - Street 2:
Mailing Address - City:MANCHACA
Mailing Address - State:TX
Mailing Address - Zip Code:78652-4526
Mailing Address - Country:US
Mailing Address - Phone:512-554-7370
Mailing Address - Fax:512-861-9029
Practice Address - Street 1:6700 MENCHACA RD BLDG 2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5010
Practice Address - Country:US
Practice Address - Phone:512-554-7370
Practice Address - Fax:512-861-9029
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99525176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife