Individual
BARRY L. SMELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
155 E SONTERRA BLVD, SUITE 201, SAN ANTONIO, TX 78258-3987
(210) 369-9856
(210) 570-8020
Mailing address
155 E SONTERRA BLVD, SUITE 201, SAN ANTONIO, TX 78258-3987
(210) 369-9856
(210) 570-8020
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TX07115
TX
363AS0400X
Surgical Physician Assistant
085001810
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209118
MEDICARE PTAN LOCALITY 15
IL
01
—
209119
MEDICARE PTAN LOCALITY 16
IL
Enumeration date
05/30/2006
Last updated
04/09/2015
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