Organization
COMAL MEDICAL CLINIC PA
Active
Organization
COMAL MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WAYNE SMITH D.O. (PHYSICIAN)
(830) 237-4318
Entity
Organization
Contact information
Practice address
651 N BUSINESS IH 35 STE 720, NEW BRAUNFELS, TX 78130-7875
(830) 237-4318
Mailing address
PO BOX 311743, NEW BRAUNFELS, TX 78131-1743
(830) 237-4318
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092251001
—
TX
Enumeration date
02/15/2007
Last updated
12/03/2010
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