Provider Demographics
NPI:1023449857
Name:ZIGNEGO SMITH, ELLEN (RN, MS, CDE)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:ZIGNEGO SMITH
Suffix:
Gender:F
Credentials:RN, MS, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13100 NORTHWEST FWY STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6346
Mailing Address - Country:US
Mailing Address - Phone:832-237-3500
Mailing Address - Fax:281-897-9906
Practice Address - Street 1:1708 COIT RD STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5027
Practice Address - Country:US
Practice Address - Phone:713-840-5245
Practice Address - Fax:281-897-9906
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX523662163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse