Provider Demographics
NPI:1801155270
Name:SMART, WILLIAM EDWARD JR (CRNA)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:SMART
Suffix:JR
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:1333 S SAM HOUSTON BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:MO
Mailing Address - Zip Code:65483-2046
Mailing Address - Country:US
Mailing Address - Phone:417-967-3311
Mailing Address - Fax:417-967-1234
Practice Address - Street 1:1333 S SAM HOUSTON BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:MO
Practice Address - Zip Code:65483-2046
Practice Address - Country:US
Practice Address - Phone:417-967-3311
Practice Address - Fax:417-967-1328
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2025-05-28
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Provider Licenses
StateLicense IDTaxonomies
ARR65452163W00000X
MO2012014772367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse