Basic Information
| Provider Information | |||||||||
| NPI: | 1992767958 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHMITZ | ||||||||
| FirstName: | BETTINA | ||||||||
| MiddleName: | U | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5865 | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794085865 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067432898 | ||||||||
| FaxNumber: | 8067432787 | ||||||||
| Practice Location | |||||||||
| Address1: | 3601 4TH ST | ||||||||
| Address2: | SUITE 1C282 | ||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794308182 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067432891 | ||||||||
| FaxNumber: | 8067432894 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2006 | ||||||||
| LastUpdateDate: | 11/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 40801 | TX | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 146555101 | 05 | TX | MEDICAID | 8M0239 | 01 | TX | BC/BS | OTHER | 450686CH48554 | 01 | TX | SECTION 1011 | OTHER | 50623028 | 05 | NM | MEDICAID | 87933Z | 01 | TX | HMO BLUE | OTHER | 202000587 | 01 | NM | PRESBYTERIAN COMMERCIAL | OTHER | 146555100 | 01 | TX | FIRSTCARE COMMERCIAL | OTHER | 148031103 | 05 | TX | MEDICAID | 200066090A | 05 | OK | MEDICAID | 202000587 | 05 | NM | MEDICAID | 148031102 | 05 | TX | MEDICAID |