Healthcare Provider Details

I. General information

NPI: 1568134740
Provider Name (Legal Business Name): CLARA SCHMITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 10/05/2021
Certification Date: 09/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7988 FARM TO MARKET RD 1488
MAGNOLIA TX
77354
US

IV. Provider business mailing address

7988 FARM TO MARKET RD 1488
MAGNOLIA TX
77354
US

V. Phone/Fax

Practice location:
  • Phone: 281-252-0069
  • Fax:
Mailing address:
  • Phone: 281-252-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number176892
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: