Provider Demographics
NPI:1508279555
Name:SCHMIDT, FREDERICK CHRISTOPHER (DC)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:CHRISTOPHER
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25830 WESTHEIMER PKWY STE 700
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5377
Mailing Address - Country:US
Mailing Address - Phone:281-661-3630
Mailing Address - Fax:346-307-7930
Practice Address - Street 1:25830 WESTHEIMER PKWY # 700
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5340
Practice Address - Country:US
Practice Address - Phone:281-661-3630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-07
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12532111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12532OtherSTATE CHIROPRACTIC LICENSE