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NPI Code Detail

MEDICARE: MORGAN ZOETIC PLLC

MEDICARE: MORGAN ZOETIC PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry18850TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
118850OTHERTXSTATE LICENSE NUMBER

General Provider Information

NPI Number : 1104295252
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORGAN ZOETIC PLLC
Provider Business Mailing Address
First Line : 2301 N COLLINS ST STE 230
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-2647
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2301 N COLLINS ST STE 230
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-2647
Country : US
Telephone Number : 281-336-1131
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : MR. PANKAJ JOSHI
Credential :
Telephone Number : 281-336-1131
Provider Enumeration Date : 09/18/2015
Last Update Date : 09/18/2015

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Directions to “MORGAN ZOETIC PLLC ” Practice Location

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