MEDICARE: DAVID M ZIENTEK MD

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	207RC0000X	Cardiovascular Disease Physician	J1821	TX
2	207RI0011X	Interventional Cardiology Physician	J1821	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8CT021	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8ET555	OTHER	TX	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629053061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M ZIENTEK MD

Provider Business Mailing Address
First Line	:	4616 W HOWARD LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78728-6300
Country	:	US
Telephone Number	:	512-324-8960
Fax Number	:	512-324-8906

Provider Business Practice Location Address
First Line	:	6811 AUSTIN CENTER BLVD
Second Line	:	SUITE 410
City	:	AUSTIN
State	:	TX
Zip	:	78731-3146
Country	:	US
Telephone Number	:	512-324-2705
Fax Number	:	512-324-2706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	10/28/2016

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Directions to “ DAVID M ZIENTEK MD” Practice Location

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