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NPI Code Detail

MEDICARE: KEILAND C SMITH DC

MEDICARE:   KEILAND C SMITH  DC
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
1111N00000XChiropractor13634TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113634OTHERTXCHIROPRACTIC LICENSE
213634OTHERTXCHIROPRACTIC

General Provider Information

NPI Number : 1134632789
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEILAND C SMITH DC
Provider Business Mailing Address
First Line : PO BOX 700688
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78270-0688
Country : US
Telephone Number : 800-404-6050
Fax Number : 866-313-3397
Provider Business Practice Location Address
First Line : 900 ROCKMEAD DR STE 143
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-2150
Country : US
Telephone Number : 800-404-6050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2017
Last Update Date : 02/27/2026

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Directions to “ KEILAND C SMITH DC” Practice Location

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