Individual
DR. MICHAEL T. SMOLKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 671-6243
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-2003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
963
NE
2080S0010X
Pediatric Sports Medicine Physician
Primary
963
NE
208D00000X
General Practice Physician
963
NE
Other
Enumeration date
03/30/2011
Last updated
08/06/2025
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