Provider Demographics
NPI:1407826027
Name:SCHMIDT, SHEILA ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:ELIZABETH
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6033 RAVENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7733
Mailing Address - Country:US
Mailing Address - Phone:713-249-1971
Mailing Address - Fax:281-997-9188
Practice Address - Street 1:7930 BROADWAY ST
Practice Address - Street 2:112
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-7942
Practice Address - Country:US
Practice Address - Phone:281-997-9616
Practice Address - Fax:281-997-9188
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ6717208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX046721902Medicaid
TXP00463462OtherRAILROAD MEDICARE
TX2832165OtherUNITED HEALTH CARE
TX9404759OtherCIGNA
01145984OtherAMERIGROUP
TX8AP530OtherBLUE CROSS BLUE SHIELD
TX2104338OtherUNITED HEALTH CARE
TX0072QGOtherBLUE CROSS BLUE SHIELD
TX8AP530OtherBLUE CROSS BLUE SHIELD