MEDICARE: JENNIFER LYN SCHMITTAUER PA-C

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1639282031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYN SCHMITTAUER PA-C

Provider Business Mailing Address
First Line	:	54 CHAMOMILE CT
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-2689
Country	:	US
Telephone Number	:	281-684-6022
Fax Number	:

Provider Business Practice Location Address
First Line	:	3251 I H 45 N
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2185
Country	:	US
Telephone Number	:	936-441-9000
Fax Number	:

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	08/20/2015

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