Individual provider · Type 1 NPI

Smitha Syamala Komatreddy

Psychiatric/Mental Health Nurse Practitioner · Grapevine, TX

NPI number 1174413470 Active

Practice location

823 Ira E Woods Ave Ste 200
Grapevine, TX 76051-4096

Mailing address

121 Cross Timbers Trl
Coppell, TX 75019-6714

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1102099 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1174413470

Smitha Syamala Komatreddy's National Provider Identifier is 1174413470, issued on Jul 8, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grapevine, TX. The record was last updated on Jul 8, 2025.