Provider Demographics
NPI:1508858457
Name:SCHMIDT, RITA E (MD)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:E
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 5865
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79408-5865
Mailing Address - Country:US
Mailing Address - Phone:806-743-2898
Mailing Address - Fax:806-743-2757
Practice Address - Street 1:3502 9TH ST
Practice Address - Street 2:SUITE G10
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-3300
Practice Address - Country:US
Practice Address - Phone:806-743-1177
Practice Address - Fax:806-743-1180
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4696207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM89989864Medicaid
NMA548OtherTRIWEST
TX8F3611OtherBCBS
TX86983ZOtherHMO BLUE
NMA548OtherTRIWEST
NM89989864Medicaid