Provider Demographics
NPI:1366755092
Name:SCHMIDT, JOHN F (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
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 1:2633 MCKINNEY AVE
Mailing Address - Street 2:SUITE 130 MB 525
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2581
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2633 MCKINNEY AVE
Practice Address - Street 2:SUITE 130 MB 525
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2581
Practice Address - Country:US
Practice Address - Phone:214-965-0244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5594111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor