Individual
BLAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACA, BC-HIS
Contact information
Practice address
21 SPURS LN, SAN ANTONIO, TX 78240-1669
(210) 614-6070
Mailing address
21 SPURS LN, SAN ANTONIO, TX 78240-1669
(210) 614-6070
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50069
TX
Other
Enumeration date
10/15/2008
Last updated
12/05/2008
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