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NPI Code Detail

MEDICARE: ZOOM HEALTH SERVICES INCORPORATION

MEDICARE: ZOOM HEALTH SERVICES INCORPORATION
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
1261QR0800XRecovery Care Clinic/Center
2261QM0850XAdult Mental Health Clinic/CenterTX

General Provider Information

NPI Number : 1902317050
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZOOM HEALTH SERVICES INCORPORATION
Provider Business Mailing Address
First Line : 12959 JUPITER RD STE 140
Second Line :
City : DALLAS
State : TX
Zip : 75238-3200
Country : US
Telephone Number : 214-221-0132
Fax Number : 214-221-0242
Provider Business Practice Location Address
First Line : 12959 JUPITER RD STE 140
Second Line :
City : DALLAS
State : TX
Zip : 75238-3200
Country : US
Telephone Number : 214-221-0132
Fax Number : 214-221-0242
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. GEROGE NEBE
Credential :
Telephone Number : 214-221-0132
Provider Enumeration Date : 10/17/2017
Last Update Date : 04/14/2023

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Directions to “ZOOM HEALTH SERVICES INCORPORATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.