MEDICARE: DOUGLAS R 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	2086S0122X	Plastic and Reconstructive Surgery Physician	19313	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902915531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS R SCHMIDT MD

Provider Business Mailing Address
First Line	:	17304 PRESTON RD
Second Line	:	SUITE 1400
City	:	DALLAS
State	:	TX
Zip	:	75252-5618
Country	:	US
Telephone Number	:	972-934-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	17304 PRESTON RD
Second Line	:	SUITE 1400
City	:	DALLAS
State	:	TX
Zip	:	75252-5618
Country	:	US
Telephone Number	:	972-934-3200
Fax Number	:

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	02/08/2012

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