Organization
CONFIDENTIAL ANESTHESIA, P.A.
Active
Organization
CONFIDENTIAL ANESTHESIA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E. SMITH MD (OWNER)
(210) 227-5168
Entity
Organization
Contact information
Practice address
7731 BROADWAY ST # H41, SAN ANTONIO, TX 78209
(210) 621-0640
(210) 621-2386
Mailing address
7731 BROADWAY ST # H41, SAN ANTONIO, TX 78209-3259
(210) 621-0640
(210) 621-2386
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K3856
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048KV
BCBS TX GROUP
TX
05
—
163147502
—
TX
Enumeration date
09/13/2006
Last updated
07/25/2019
Update your record
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