| Eileen A. Smith M.d., P.a. | |
|
8601 Village Dr 118 San Antonio TX 78217-5512 | |
| (210) 967-0515 | |
| (210) 655-9697 |
| Full Name | Eileen A. Smith M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8601 Village Dr, San Antonio, Texas |
| Authorized Official Name and Position | Evonnie P Estrada (OFFICE MANAGER) |
| Authorized Official Contact | 2109670515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eileen A. Smith M.d., P.a. Po Box 34567 San Antonio TX 78265-4567 Ph: (210) 967-0515 | Eileen A. Smith M.d., P.a. 8601 Village Dr 118 San Antonio TX 78217-5512 Ph: (210) 967-0515 |
| NPI Number | 1679760177 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679760177 | NPI | - | NPPES |
| DN8900 | Other | TX | MEDICARE RAILROAD |
| 0002MG | Other | TX | BCBS |
| 171599701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | TXJ1141 (Texas) | Primary |
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