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Ralph Smith, LCDC
NPI 1871784249 · on the registry since 2007
Practice
- Address
- 2200 Bergquist Dr
59 Mhs Sgow Ste 1
Lackland Afb, TX 78236 - Phone
- (210) 292-7722
- Fax
- (210) 292-2520
- Organisation at this address
- Willford Hall Medical Ctr
Willford Hall Medical CtrInferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas