Provider Demographics
NPI:1356964704
Name:SMITH-PATEL, ASHLEE NICOLE (MD)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:NICOLE
Last Name:SMITH-PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6621 FANNIN ST STE A5590
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2358
Mailing Address - Country:US
Mailing Address - Phone:832-826-1549
Mailing Address - Fax:832-825-2799
Practice Address - Street 1:6621 FANNIN ST STE A5590
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2358
Practice Address - Country:US
Practice Address - Phone:832-826-1549
Practice Address - Fax:832-825-2799
Is Sole Proprietor?:No
Enumeration Date:2020-05-20
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10083156390200000X
TXU4938390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program