Provider Demographics
NPI:1942017389
Name:SMTIH, HOPE DENISE (RN)
Entity type:Individual
Prefix:MS
First Name:HOPE
Middle Name:DENISE
Last Name:SMTIH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:HOPE
Other - Middle Name:DENISE
Other - Last Name:SMTIH-GANDHLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 763172
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75376-3172
Mailing Address - Country:US
Mailing Address - Phone:469-878-3203
Mailing Address - Fax:
Practice Address - Street 1:801 7TH AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2796
Practice Address - Country:US
Practice Address - Phone:682-885-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX678687163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics