MEDICARE: JIMMY D SCHMIDT MD

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	207N00000X	Dermatology Physician	D4297	TX

General Provider Information

NPI Number	:	1033194287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIMMY D SCHMIDT MD

Provider Business Mailing Address
First Line	:	6700 WEST LOOP SOUTH
Second Line	:	SUITE #500
City	:	BELLAIRE
State	:	TX
Zip	:	77401
Country	:	US
Telephone Number	:	281-444-1288
Fax Number	:	281-444-9177

Provider Business Practice Location Address
First Line	:	819 PEAKWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2905
Country	:	US
Telephone Number	:	281-444-1288
Fax Number	:	281-444-9177

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	03/20/2024

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