Provider Demographics
NPI:1609281138
Name:SMITH, WILLIAM ZACHARY (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ZACHARY
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 131
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-0131
Mailing Address - Country:US
Mailing Address - Phone:281-410-8586
Mailing Address - Fax:
Practice Address - Street 1:731 CARNOUSTIE DR STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4800
Practice Address - Country:US
Practice Address - Phone:210-963-7493
Practice Address - Fax:888-464-0947
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXT1219207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT1219OtherTEXAS MEDICAL LICENSE