MR. Ralph Smith III, LCDC
NPI #1871784249 in Lackland Afb, Texas
Provider Information
- NPI Number
- 1871784249
- Entity Type
- Individual
- Name
- MR. Ralph Smith III, LCDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Credential
- LCDC
- Enumeration Date
- Aug 9, 2007
- Last Updated
- Aug 9, 2007
Practice Location
- Address
- 2200 BERGQUIST DR
- Address 2
- 59 MHS SGOW STE 1
- City
- Lackland Afb
- State
- Texas
- ZIP Code
- 78236
- Phone
- (210) 292-7722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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