Individual
DR. JOHN MARVIN SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6800 IH10 WEST, STE 300, SAN ANTONIO, TX 78201-2011
(210) 616-0008
(210) 616-0231
Mailing address
204 ZAMBRANO RD, SAN ANTONIO, TX 78209-5459
(210) 822-9449
(210) 822-7706
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D9666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D9666
TX PHYSICIAN PERMIT
TX
Enumeration date
06/27/2005
Last updated
07/08/2007
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