Provider Demographics
NPI:1700944139
Name:SMART, GABRIELA ERNESTINE (DC, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:GABRIELA
Middle Name:ERNESTINE
Last Name:SMART
Suffix:
Gender:F
Credentials:DC, FNP-C
Other - Prefix:
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Mailing Address - Street 1:12616 BRIAR FOREST DR.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077
Mailing Address - Country:US
Mailing Address - Phone:281-920-9022
Mailing Address - Fax:281-920-9028
Practice Address - Street 1:12616 BRIAR FOREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2302
Practice Address - Country:US
Practice Address - Phone:281-920-9022
Practice Address - Fax:281-920-9028
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX9040111N00000X
TX79417363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No111N00000XChiropractic ProvidersChiropractor