MEDICARE: LESLIE ANN SMETZER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WX0200X	Oncology Registered Nurse	564391	TX

General Provider Information

NPI Number	:	1851946354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE ANN SMETZER RN

Provider Business Mailing Address
First Line	:	2829 BABCOCK RD STE 300
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-6011
Country	:	US
Telephone Number	:	210-580-9506
Fax Number	:

Provider Business Practice Location Address
First Line	:	2829 BABCOCK RD STE 300
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-6011
Country	:	US
Telephone Number	:	210-580-9506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2019
Last Update Date	:	08/02/2019

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