Individual
VERNON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-6573
Mailing address
1401 BALSAM WAY, ROUND ROCK, TX 78665-2388
(512) 364-8165
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACO1578
TX
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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