MEDICARE: KEVIN J SCHULZ 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207P00000X	Emergency Medicine Physician	P2519	TX

General Provider Information

NPI Number	:	1235431321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN J SCHULZ MD

Provider Business Mailing Address
First Line	:	1829 OAKDALE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-5934
Country	:	US
Telephone Number	:	201-707-7804
Fax Number	:

Provider Business Practice Location Address
First Line	:	1829 OAKDALE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-5934
Country	:	US
Telephone Number	:	201-707-7804
Fax Number	:

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

Provider Enumeration Date	:	11/23/2010
Last Update Date	:	08/03/2016

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Directions to “ KEVIN J SCHULZ MD” Practice Location

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