| Doctor Name: | LESLIE P SMITH |
| NPI Number: | 1003101718 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 243562 |
| Business Practice Address: | 1800 Gurley Lane Waco, TX - 76706 |
| Business Phone Number: | 2543136000 |
| Business Fax Number: | 2543134531 |
| Mailing Address: | 1600 Providence Dr, WACO |
| State: | TX |
| Postal Code: | 767072261 |
| Phone Number: | 2543134200 |
| Fax Number: | 2543134326 |
| NPI Enumeration Date: | 06/10/2011 |
| NPI Last Update Date: | 04/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 243562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |