NPI | 1982743811 |
---|---|
Doing Business As | PRO MED SOUTH |
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 |