Provider Demographics
NPI:1528301108
Name:SMITH, ALEXANDRA JANINE (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JANINE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:959TH MEDICAL OPERATIONS SQUADRON JBSA
Mailing Address - Street 2:3551 ROGER BROOKE DRIVE
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-916-3710
Mailing Address - Fax:210-916-0695
Practice Address - Street 1:BROOKE ARMY MEDICAL CENTER
Practice Address - Street 2:3551 ROGER BROOKE DRIVE
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-916-0935
Practice Address - Fax:210-916-3051
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2021-12-13
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Provider Licenses
StateLicense IDTaxonomies
VA0101257431207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine