Individual
COURTNEY ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21727 IH 10 WEST, SAN ANTONIO, TX 78256-1161
(210) 698-7663
(210) 698-7696
Mailing address
333 N SANTA ROSA ST, SUITE D4023, SAN ANTONIO, TX 78207-3108
(469) 282-2711
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q3443
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347893503
—
TX
Enumeration date
05/02/2012
Last updated
09/17/2016
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