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Individual

COLTEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-6500
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/21/2025
Last updated
02/26/2026
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