Provider Demographics
NPI:1770593436
Name:SCHMIDLY, HAN
Entity type:Individual
Prefix:
First Name:HAN
Middle Name:
Last Name:SCHMIDLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3409
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78691-3409
Mailing Address - Country:US
Mailing Address - Phone:513-252-7792
Mailing Address - Fax:513-904-5908
Practice Address - Street 1:9301 N CENTRAL EXPY STE 340
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0804
Practice Address - Country:US
Practice Address - Phone:214-466-2828
Practice Address - Fax:214-386-9798
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0223207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F5078OtherMEDICARE INDIVIDUAL PTAN FOR DALLAS COUNTY
TX8F9489OtherMEDICARE INDIVIDUAL PTAN FOR HOPKINS COUNTY
TX8F5078OtherMEDICARE INDIVIDUAL PTAN FOR DALLAS COUNTY