MEDICARE: JOSEPH A. SCHIMEK DDS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	11290	TX

General Provider Information

NPI Number	:	1013137819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH A. SCHIMEK DDS, PLLC

Provider Business Mailing Address
First Line	:	4526 HIGHWAY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3402
Country	:	US
Telephone Number	:	281-463-7750
Fax Number	:	281-463-3591

Provider Business Practice Location Address
First Line	:	4526 HIGHWAY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3402
Country	:	US
Telephone Number	:	281-463-7750
Fax Number	:	281-463-3591

Authorized Official
Title or Position	:	ORTHODONTIST
Name	:	DR. JOSEPH A. SCHIMEK
Credential	:	D.D.S.
Telephone Number	:	281-463-7750

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	06/12/2008

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