MEDICARE: ZAK H WEIS DPM MS PA

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
1	213E00000X	Podiatrist	1658	TX

General Provider Information

NPI Number	:	1164548855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZAK H WEIS DPM MS PA

Provider Business Mailing Address
First Line	:	1901 MEDI PARK DR STE 1054
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-2108
Country	:	US
Telephone Number	:	806-322-3338
Fax Number	:	806-322-7653

Provider Business Practice Location Address
First Line	:	1901 MEDI PARK DR STE 1054
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-2108
Country	:	US
Telephone Number	:	806-322-3338
Fax Number	:	806-322-7653

Authorized Official
Title or Position	:	PODIATRIST
Name	:	ZAK H WEIS
Credential	:	DPM
Telephone Number	:	806-322-3338

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	06/09/2008

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