MEDICARE: STEPHANIE ANNE SCHMIDT P.A.

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	363L00000X	Nurse Practitioner	PA11590	TX
2	363A00000X	Physician Assistant	PA11590	TX

General Provider Information

NPI Number	:	1427035237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ANNE SCHMIDT P.A.

Provider Business Mailing Address
First Line	:	4510 MEDICAL CENTER DR STE 207
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-1602
Country	:	US
Telephone Number	:	469-815-7622
Fax Number	:

Provider Business Practice Location Address
First Line	:	4510 MEDICAL CENTER DR STE 207
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-1602
Country	:	US
Telephone Number	:	469-815-7622
Fax Number	:

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	08/11/2023

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