Mr Jerrell F Smith, PHD | |
3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | |
(210) 916-2460 | |
Not Available |
Full Name | Mr Jerrell F Smith |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073869418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 001342 (Iowa) | Primary |
Entity Name | Doctor On Demand Professionals Of Texas, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851709133 PECOS PAC ID: 3072895341 Enrollment ID: O20200330003901 |
Mailing Address | Practice Location Address |
---|---|
Mr Jerrell F Smith, PHD 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 Ph: () - | Mr Jerrell F Smith, PHD 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 Ph: (210) 916-2460 |
Margaret Jackson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-1600 | |
Dr. Michael Chatterton, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Scott Camburn Storm, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Mary Josephine Porter, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Building 3600, Fort Sam Houston, TX 78234 Phone: 210-916-3946 | |
Mr. Jacob B Barack, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Drive, Department Of Behavioral Medicine- Mche-dbm, Fort Sam Houston, TX 78234 Phone: 210-539-6150 | |
Dr. Teresa Lynne Arata-maiers, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-5806 |