| Evan Gregory Smith, | |
|
2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | |
| (210) 292-1990 | |
| Not Available |
| Full Name | Evan Gregory Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 2200 Bergquist Dr, Lackland A F B, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891090577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Gregory Smith, 1934 Winding Vw, San Antonio, TX 78260-7206 Ph: () - | Evan Gregory Smith, 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 Ph: (210) 292-1990 |
Elizabeth A. Goedecke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236 Phone: 210-292-3871 | |
Heriberto A Gonzalez, PHD Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Attn: Credentialsd(cmc), Lackland A F B, TX 78236 Phone: 210-292-5786 Fax: 210-292-7199 | |
Ms. Carol Forrest, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Truemper St, Lackland A F B, TX 78236 Phone: 210-292-4067 | |
Jason Ray Rogers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Bergquist Dr, Lackland A F B, TX 78236 Phone: 210-292-6707 |