Provider Demographics
NPI:1659568376
Name:SHEILA E SCHMIDT PEARLAND HEALTH CARE
Entity Type:Organization
Organization Name:SHEILA E SCHMIDT PEARLAND HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-249-1971
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:
Practice Address - Street 1:7930 BROADWAY ST
Practice Address - Street 2:STE 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6717261QP2300X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2832165OtherUNITED HEALTH CARE
TX0072QGOtherBLUE CROSS BLUE SHIELD
TX01145984OtherAMERIGROUP
TX2104338OtherUNITED HEALTH CARE
TX8AP530OtherBLUE CROSS BLUE SHIELD
TX9404759OtherCIGNA