Individual
JEFF ROBERT SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21710 MIXON RD, TROUP, TX 75789-5758
(903) 830-5021
Mailing address
21710 MIXON RD, TROUP, TX 75789-5758
(903) 830-5021
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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