Provider Demographics
NPI:1285756759
Name:SCHMITZ, CHRISTINE (MED,RD,LD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:MED,RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 MEMORIAL VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4440
Mailing Address - Country:US
Mailing Address - Phone:713-208-5553
Mailing Address - Fax:
Practice Address - Street 1:1010 MEMORIAL VILLAGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4440
Practice Address - Country:US
Practice Address - Phone:713-208-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT05060133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered