Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 44582 | CO |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | A115975 | CA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | P3817 | TX |
NPI | 1568686871 |
---|---|
Provider Name | Prof. Matthew Robert Schmitz |
First Address | Shavano Park, TX 78231-1457 |
Second Address | Fort Sam Houston, TX 78234-4501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 04/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
310368101 | (05) | TX |