Basic Information
Provider Information
NPI: 1487074746
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHMIDTBERGER
FirstName: RACHEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21800 KATY FWY STE 200
Address2:  
City: KATY
State: TX
PostalCode: 774497780
CountryCode: US
TelephoneNumber: 7139937191
FaxNumber: 7135243432
Practice Location
Address1: 6655 TRAVIS ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301312
CountryCode: US
TelephoneNumber: 7135008268
FaxNumber: 7135243432
Other Information
ProviderEnumerationDate: 04/24/2014
LastUpdateDate: 04/10/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000XR5898TXY Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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