Provider Demographics
NPI:1144418211
Name:SCHMIDT, PAUL JOHN JR (MS, RPH)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JOHN
Last Name:SCHMIDT
Suffix:JR
Gender:M
Credentials:MS, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1719 ONYX CV
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791-5801
Mailing Address - Country:US
Mailing Address - Phone:903-839-0778
Mailing Address - Fax:903-830-0788
Practice Address - Street 1:1719 ONYX CV
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791-5801
Practice Address - Country:US
Practice Address - Phone:903-839-0778
Practice Address - Fax:903-830-0788
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-13
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist