Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0004X | Dentist Anesthesiologist | 33929 | TX |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8122 | KY |
NPI | 1578525671 |
---|---|
Provider Name | Dr. Curtis Dale Schmidt |
First Address | San Antonio, TX 78234-4504 |
Second Address | San Antonio, TX 78234-4504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 31/10/2021 |