Provider Demographics
NPI:1245230408
Name:SCHMIDT, KRISTIN NOELLE (MD)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:NOELLE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4581
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4581
Mailing Address - Country:US
Mailing Address - Phone:713-464-2100
Mailing Address - Fax:281-392-7911
Practice Address - Street 1:18300 KATY FWY
Practice Address - Street 2:SUITE 315
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1385
Practice Address - Country:US
Practice Address - Phone:713-464-2100
Practice Address - Fax:281-392-7911
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0572207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0373276-01Medicaid
TX8U9981OtherBC/BS
H24735Medicare UPIN
TX0373276-01Medicaid