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Organization
SMITHSON VALLEY FAMILY MEDICINE, LLP
Active
Organization
SMITHSON VALLEY FAMILY MEDICINE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW W NICOLA MD (OWNER)
(830) 885-5541
Entity
Organization
Contact information
Practice address
6098 FM 311, SMITHSON VALLEY FAMILY MEDICINE, SPRING BRANCH, TX 78070-7253
(830) 885-5541
(830) 885-5542
Mailing address
6098 FM 311, SMITHSON VALLEY FAMILY MEDICINE, SPRING BRANCH, TX 78070-7253
(830) 885-5541
(830) 885-5542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169864902
—
TX
05
—
178787102
—
TX
Enumeration date
03/12/2007
Last updated
05/29/2008
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