| NPI | 1134268048 |
|---|---|
| Doing Business As | PRO MED N. HWY 183 |
| Entity Type | Organization |
| Authorized Contact | E JOHN SMOLIK Managing Partner 512-444-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |