Provider Demographics
NPI:1770798050
Name:SCHROEDER, KIMBERLEY ANN (DO)
Entity type:Individual
Prefix:DR
First Name:KIMBERLEY
Middle Name:ANN
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 BAKER DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4211
Mailing Address - Country:US
Mailing Address - Phone:281-290-0531
Mailing Address - Fax:281-351-2786
Practice Address - Street 1:115 BAKER DR
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4211
Practice Address - Country:US
Practice Address - Phone:281-290-0531
Practice Address - Fax:281-351-2786
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4235207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine