Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 10928 | TX |
N | 111NX0100X | Occupational Health | 10928 | TX |
NPI | 1235383852 |
---|---|
Provider Name | Dr. Robert Schmidt |
First Address | Austin, TX 78703-3948 |
Second Address | Austin, TX 78703-3948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2008 |
Last Update Date | 18/11/2009 |