Provider Demographics
NPI:1588922009
Name:SMITH, KAREEN JACQUELYN (MD)
Entity type:Individual
Prefix:
First Name:KAREEN
Middle Name:JACQUELYN
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8035 HIGHWAY 6 STE 100
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2818
Mailing Address - Country:US
Mailing Address - Phone:832-930-7756
Mailing Address - Fax:346-816-7630
Practice Address - Street 1:8035 HIGHWAY 6 STE 100
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2818
Practice Address - Country:US
Practice Address - Phone:832-930-7756
Practice Address - Fax:346-816-7630
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP2789208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics