Provider Demographics
NPI:1982755237
Name:SMITH, SEAN KEARSE (CSA)
Entity Type:Individual
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First Name:SEAN
Middle Name:KEARSE
Last Name:SMITH
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Gender:M
Credentials:CSA
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Mailing Address - Street 1:17515 SPRING CYPRESS RD
Mailing Address - Street 2:#C-228
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2688
Mailing Address - Country:US
Mailing Address - Phone:281-384-1612
Mailing Address - Fax:281-213-3807
Practice Address - Street 1:17515 SPRING CYPRESS RD
Practice Address - Street 2:#C-228
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2688
Practice Address - Country:US
Practice Address - Phone:281-384-1612
Practice Address - Fax:281-213-3807
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2015-01-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical