Individual
JOHN F SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 DALLAS ST, EMERGENCY ROOM, SAN ANTONIO, TX 78205-1201
(210) 614-0180
(210) 615-7170
Mailing address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5907
(210) 614-0180
(210) 615-7170
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
L5138
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161286302
—
TX
05
—
161286303
—
TX
01
—
8K7852
BCBS
TX
Enumeration date
02/15/2006
Last updated
11/06/2009
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