MEDICARE: DR. JAMES MARTIN SMITH M.D.

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	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	E3459	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942249123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MARTIN SMITH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1814
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78296-1814
Country	:	US
Telephone Number	:	210-558-6288
Fax Number	:	210-558-6289

Provider Business Practice Location Address
First Line	:	4499 MEDICAL DR
Second Line	:	SUB-LEVEL 2
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3735
Country	:	US
Telephone Number	:	210-575-4497
Fax Number	:	210-575-4498

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	07/28/2015

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Directions to “ DR. JAMES MARTIN SMITH M.D.” Practice Location

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