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NPI Code Detail

MEDICARE: PHILIP D ZINN MD

MEDICARE: PHILIP D ZINN 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
1207RC0000XCardiovascular Disease PhysicianG3931TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TXB117858OTHERTXMEDICARE
4P00914965OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38CM528OTHERTXBCBS

General Provider Information

NPI Number : 1982681961
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP D ZINN MD
Provider Business Mailing Address
First Line : 4411 MEDICAL DR
Second Line : STE 300
City : SAN ANTONIO
State : TX
Zip : 78229-3824
Country : US
Telephone Number : 210-614-5400
Fax Number : 210-614-2413
Provider Business Practice Location Address
First Line : 4411 MEDICAL DR
Second Line : STE 300
City : SAN ANTONIO
State : TX
Zip : 78229-3824
Country : US
Telephone Number : 210-614-5400
Fax Number : 210-614-2413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 07/21/2022

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Directions to “ PHILIP D ZINN MD” Practice Location

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