Individual
DR. JAMIE SMITH PENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(773) 577-3782
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(773) 577-3782
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.117924
IL
208000000X
Pediatrics Physician
238558
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
W2346
TX
Other
Enumeration date
06/13/2006
Last updated
01/12/2026
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