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NPI Code Detail

MEDICARE: ZACHARY C BUDD LMSW

MEDICARE: ZACHARY C BUDD LMSW
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
1104100000XSocial Worker107990TX

General Provider Information

NPI Number : 1417677634
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY C BUDD LMSW
Provider Business Mailing Address
First Line : 1560 W BAY AREA BLVD STE 303
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-2681
Country : US
Telephone Number : 832-224-9143
Fax Number :
Provider Business Practice Location Address
First Line : 1560 W BAY AREA BLVD STE 303
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-2681
Country : US
Telephone Number : 832-224-9143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2022
Last Update Date : 08/29/2022

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Directions to “ ZACHARY C BUDD LMSW” Practice Location

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