Individual
MR. JACOB CARL SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-5208
(903) 315-1122
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-5200
(903) 315-2955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
08/16/2013
Last updated
10/31/2013
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