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Active NPI 1871784249 Individual Practitioner Male Practitioner

Ralph Smith , LCDC

Technician, Other • Lackland Afb, TX

Professional Overview & Biography Verified Profile Summary

Ralph Smith, LCDC is a registered healthcare professional specializing in Technician, Other in Lackland Afb, TX. Practice services are available at 2200 BERGQUIST DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2200 Bergquist Dr
59 Mhs Sgow Ste 1

Lackland Afb, TX 78236

Telephone 2102927722
Fax 2102922520

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Lackland Afb, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Lackland Afb, TX (787 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

State License TX 9305

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Monty Baker , PhD

Psychologist - Clinical

NPI 1053308528

Doctor of Philosophy (Ph.D.)

Dr. Revonda Grayson , PhD

Clinical Neuropsychologist

NPI 1093893059

Doctor of Philosophy (Ph.D.)

Dr. Mark Hinton , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1396717781

Doctor of Medicine (M.D.)

Dr. Henry Nelson , MD

Psychiatry & Neurology - Psychiatry

NPI 1649240144

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2007

Registered at 2200 BERGQUIST DR, 59 MHS SGOW STE 1, LACKLAND AFB, TX 78236 (Tel: 2102927722)

📍
Updated Business Mailing Address August 09, 2007

Registered at 8910 N LOOP 1604 W, APT 124, SAN ANTONIO, TX 782492595 (Tel: 2102927722)

👤
Provider Name / Credentials Updated August 09, 2007

Recorded as RALPH SMITH, LCDC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2007

Technician, Other (License #9305 in TX)

🟢
Initial NPI Registration & Enumeration August 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871784249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2007
Last Update: August 09, 2007
Sole Proprietor: No

Mailing Address

8910 N Loop 1604 W, Apt 124

San Antonio, TX 782492595

Phone: 2102927722

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.