| Dr Michael T Smolka, DO | |
| 
					1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638  | |
| (210) 671-6243 | |
| Not Available | 
| Full Name | Dr Michael T Smolka | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Sports Medicine | 
| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194014290 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 963 (Nebraska) | Secondary | 
| 208D00000X | General Practice | 963 (Nebraska) | Secondary | 
| 2080S0010X | Pediatrics - Sports Medicine | 963 (Nebraska) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael T Smolka, DO 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-2003  | Dr Michael T Smolka, DO 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 671-6243  | 
Sarah Mcdonald, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-4277  | |
Dr. Caitlin Gonsolin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-916-9228 Fax: 210-916-9332  | |
Dr. Matthew J Darling, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-6002  | |
Dr. Kermit George Helo Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-6002  | |
Ryan Clarke Gottfredson, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225  | |
Tara Lynn Conner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-0002  |