Individual
JENNIFER MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-5545
(210) 916-7161
Mailing address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-5545
(210) 916-7161
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
05-41482
KS
Other
Enumeration date
04/08/2010
Last updated
11/21/2018
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