Organization
KELLY J SMITH MD PA
Active
Other names
Children's Asthma, Sleep & Pulmonary Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY J SMITH MD (OWNER/PHYSICIAN)
(210) 615-3700
Entity
Organization
Contact information
Practice address
5282 MEDICAL DR, SUITE 120, SAN ANTONIO, TX 78229-4849
(210) 615-3700
(210) 615-3701
Mailing address
5282 MEDICAL DR, SUITE 120, SAN ANTONIO, TX 78229-4849
(210) 615-3700
(210) 615-3701
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
M3394
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
2080S0012X
Pediatric Sleep Medicine Physician
M3394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191771801
—
TX
Enumeration date
05/11/2007
Last updated
07/30/2008
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