Individual
DR. BENJAMIN LIGHTFOOT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 BURNSIDE DR, SAN ANTONIO, TX 78209-2904
(215) 584-5780
Mailing address
302 BURNSIDE DR, SAN ANTONIO, TX 78209-2904
(215) 584-5780
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M9015
TX
Other
Enumeration date
09/20/2007
Last updated
01/19/2010
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