Eileen a. Smith M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

TXJ1141 Issued in TX

Legal business name

EILEEN A. SMITH M.D., P.A.

Practice address

8601 Village Dr
118
San Antonio, TX 78217-5512

Phone

(210) 967-0515

Fax

(210) 655-9697

NPI assigned

Sep 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Evonnie P Estrada

Title

Office Manager

Phone

(210) 967-0515

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1679760177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34567",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654567",
            "telephone_number": "210-967-0515",
            "fax_number": "210-655-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR",
            "address_2": "118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175512",
            "telephone_number": "210-967-0515",
            "fax_number": "210-655-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN A. SMITH M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "EVONNIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-967-0515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "TXJ1141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DN8900",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0002MG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171599701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Eickhoff, MD
• Brittany Eickstead, PHARMD
• Hana Wael Eid, DDS
• Eila Corporation
• Raven Eiland
• Brent Eilers, CCP
• Albert A Eisch, LPC
• Denise Eisel
• Jenna Paige Eisel
• Shelley Eisenberg

• Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.