Provider Demographics
NPI:1851658157
Name:SCHMIDT, WAYNE JR (DO)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:
Last Name:SCHMIDT
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARL R DARNELL ARMY MEDICAL CENTER, DEPT OF ANESTHESIA
Mailing Address - Street 2:36065 SANTA FE AVENUE
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:98431
Mailing Address - Country:US
Mailing Address - Phone:254-553-4320
Mailing Address - Fax:
Practice Address - Street 1:CARL R DARNELL ARMY MEDICAL CENTER, DEPT OF ANESTHESIA
Practice Address - Street 2:36065 SANTA FE AVENUE
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-4752
Practice Address - Country:US
Practice Address - Phone:254-553-4320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1058207L00000X
TXS3582207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology