Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD60827991 | WA |
N | 207T00000X | Neurosurgeon | S3298 | TX |
NPI | 1003115270 |
---|---|
Provider Name | Dr. Paul James Schmitt |
First Address | Salt Lake City, UT 84125-0608 |
Second Address | Corpus Christi, TX 78404-2313 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2011 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1L5837 | MEDICARE (01) | TX |
412633602 | (05) | TX |