Smith, Wyatt Alexander Rivas
Smith, Wyatt Alexander Rivas is an individual health care provider with primary practice located at San Antonio Military Medical Center, Mche-Zso Orthopaed 3551 Roger Brooke Dr, Jbsa-Fort Sam Houston TX 78234-4504. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is his primary health care specialty. Smith, Wyatt Alexander Rivas can be contacted via phone (210) 916-1284.Contact Information
Primary practice address
San Antonio Military Medical Center, Mche-Zso Orthopaed 3551 Roger Brooke Dr
Jbsa-Fort Sam Houston TX 78234-4504
Phone: (210) 916-1284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1356048193 |
|---|---|
| LBN Legal business name | Smith, Wyatt Alexander Rivas |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2023 |
| Last updated | Aug 14th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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