Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 11967 | TX |
NPI | 1295719508 |
---|---|
Provider Name | Dr. John P Schmitz |
First Address | San Antonio, TX 78231-1264 |
Second Address | San Antonio, TX 78231-1264 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 14/02/2013 |