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Dr. Wyatt Alexander Rivas Smith, MD,MPH
Military Health Care Provider in Jbsa-Fort Sam Houston, Texas
NPI 1356048193

Wyatt Alexander Rivas Smith is a Military Health Care Provider based in Jbsa-Fort Sam Houston, TX. Wyatt Alexander Rivas Smith practices in Jbsa-Fort Sam Houston, TX and has the professional credentials of MD,MPH. The NPI Number for Wyatt Alexander Rivas Smith is 1356048193 and holds a License No. (Texas).

The current practice location address for Wyatt Alexander Rivas Smith is San Antonio Military Medical Center, Mche-Zso Orthopaed, Jbsa-Fort Sam Houston, TX and can be reached out via phone at 210-916-1284.

Location: San Antonio Military Medical Center, Mche-Zso Orthopaed, Jbsa-Fort Sam Houston, TX, 78234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356048193
Provider Name
Wyatt Alexander Rivas Smith
Credential
MD,MPH
Provider Entity Type
Individual
Gender
Male
Address
San Antonio Military Medical Center, Mche-Zso Orthopaed, Jbsa-Fort Sam Houston, TX, 78234
Phone Number
210-916-1284
Fax Number
Provider Enumeration Date
02/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
San Antonio Military Medical Center, Mche-Zso Orthopaed
City
Jbsa-Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-1284
Fax Number
person
Provider Business Mailing Address Details
Address
San Antonio Military Medical Center, Mche-Zso Orthopaed
City
Jbsa-Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-1284
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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