IndividualActive
Michael Smolka, D.O.
NPI 1194014290 · Pediatric Sports Medicine Physician · Jbsa Lackland, TX
Provider details
- NPI number
- 1194014290
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 963 (NE)
Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (210) 671-6243
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Registry dates
- Enumerated
- 2011-03-30
- Last updated
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.