Provider Demographics
NPI:1235287715
Name:SCHMID, KAREN L (ANP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:SCHMID
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MCKINNEY AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75202-1007
Mailing Address - Country:US
Mailing Address - Phone:214-754-8700
Mailing Address - Fax:214-271-4659
Practice Address - Street 1:703 MCKINNEY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75202-1007
Practice Address - Country:US
Practice Address - Phone:214-754-8700
Practice Address - Fax:214-271-4659
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX632380363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS61897Medicare UPIN