Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | K7389 | TX |
NPI | 1003800822 |
---|---|
Provider Name | James D Schmitz |
First Address | Alamogordo, NM 88310-9533 |
Second Address | Alamogordo, NM 88310-9533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 08/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
147802604 | (05) | TX |
C76572 | (02) |