Smith, Courtney Anne

Smith, Courtney Anne is an individual health care provider with primary practice located at 21727 Ih 10 West , San Antonio TX 78256-1161. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Smith, Courtney Anne can be contacted via phone (210) 698-7663.

Contact Information

Primary practice address
21727 Ih 10 West San Antonio TX 78256-1161
Phone: (210) 698-7663
Fax: (210) 698-7696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Q3443 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1891053484
LBN Legal business name Smith, Courtney Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2012
Last updated Sep 17th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891053484 NPPES
Texas MEDICAID 347893503

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