Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | AP135603 | TX |
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP135603 | TX |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP135603 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | AP135603 | TX |
NPI | 1083126205 |
---|---|
Provider Name | David Mykal Schmidt |
First Address | Victoria, TX 77901-5748 |
Second Address | Victoria, TX 77901-5748 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2017 |
Last Update Date | 27/10/2017 |