Provider Demographics
NPI:1114035920
Name:SCHINDLER SMITH PA
Entity Type:Organization
Organization Name:SCHINDLER SMITH PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHINDLER SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-831-3033
Mailing Address - Street 1:3510 RICHMOND RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TERKANA
Mailing Address - State:TX
Mailing Address - Zip Code:71550
Mailing Address - Country:US
Mailing Address - Phone:903-831-3033
Mailing Address - Fax:903-831-3032
Practice Address - Street 1:3510 RICHMOND RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TERKANA
Practice Address - State:TX
Practice Address - Zip Code:71550
Practice Address - Country:US
Practice Address - Phone:903-831-3033
Practice Address - Fax:903-831-3032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8133207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1528048014OtherNPI INDIVIDUAL
C91801Medicare UPIN
1528048014OtherNPI INDIVIDUAL