Individual
PETER SMOLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2391 NE LOOP 410, SUITE 405, SAN ANTONIO, TX 78217-5600
(210) 654-7326
(210) 590-8232
Mailing address
7142 SAN PEDRO AVE, SUITE 120, SAN ANTONIO, TX 78216-6254
(210) 661-5622
(210) 798-6811
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
F2937
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118940902
—
TX
01
—
390001942
MEDICARE RAILROAD
TX
Enumeration date
12/07/2005
Last updated
08/14/2015
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