Individual
JONATHAN WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
163W00000X
Registered Nurse
1211717
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1211717
TX
Other
Enumeration date
10/15/2019
Last updated
01/28/2026
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