Provider Demographics
NPI:1174612162
Name:SCHULZE, KEITH E (MD)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:E
Last Name:SCHULZE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:15400 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3875
Mailing Address - Country:US
Mailing Address - Phone:281-980-6647
Mailing Address - Fax:281-980-6650
Practice Address - Street 1:15400 SOUTHWEST FWY
Practice Address - Street 2:SUITE 150
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3875
Practice Address - Country:US
Practice Address - Phone:281-980-6647
Practice Address - Fax:281-980-6650
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH7651207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF49689Medicare UPIN