| Street | 2505 Avenue D | ||
| City/Town | Galveston | ||
| State/Province/Region | Texas | ||
| Zip/Postal Code | 77550 | ||
| Phone Number | (409) 766-7878 | ||
| Country | United States |
| Full Name | Leo Schmitt MD | ||
| Gender | male | ||
| Birthday | 1986-12-04 | ||
| Social Security Number | 009-94-7742 |
| Credit card brand | Unionpay | ||
| Credit card number | 6247395610758298 | ||
| Expire | 2031/10 | ||
| CVV | 910 |