Provider Demographics
NPI:1750563466
Name:SIMAH AKPAN-SMART
Entity type:Organization
Organization Name:SIMAH AKPAN-SMART
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AKPAN-SMART
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-595-0336
Mailing Address - Street 1:19227 DESERT CALICO LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2561
Mailing Address - Country:US
Mailing Address - Phone:832-595-0336
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:77469-2561
Practice Address - Country:US
Practice Address - Phone:832-595-0336
Practice Address - Fax:832-363-1893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011538251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health