MEDICARE: CHRISTOPHER ZIMMERMAN

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	363LF0000X	Family Nurse Practitioner	1228213	TX

General Provider Information

NPI Number	:	1942148911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ZIMMERMAN

Provider Business Mailing Address
First Line	:	701 N VISTA RIDGE BLVD APT 3004
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-0038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1395 SATTLER RD STE 6
Second Line	:
City	:	CANYON LAKE
State	:	TX
Zip	:	78132-2296
Country	:	US
Telephone Number	:	830-964-5555
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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