Individual
MR. DOMINIQUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9511 PERRIN BEITEL RD APT 102, SAN ANTONIO, TX 78217-3538
(713) 393-9739
Mailing address
9511 PERRIN BEITEL RD APT 102, SAN ANTONIO, TX 78217-3538
(713) 393-9739
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
NHA346213
TX
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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