Provider Demographics
NPI:1033194287
Name:SCHMIDT, JIMMY D (MD)
Entity type:Individual
Prefix:
First Name:JIMMY
Middle Name:D
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6700 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE #500
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:281-444-1288
Mailing Address - Fax:281-444-9177
Practice Address - Street 1:819 PEAKWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2905
Practice Address - Country:US
Practice Address - Phone:281-444-1288
Practice Address - Fax:281-444-9177
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2024-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD4297207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099412101Medicaid
TXB88073Medicare UPIN
TX099412101Medicaid