Healthcare Provider Details

I. General information

NPI: 1548676265
Provider Name (Legal Business Name): DAVID ZUELZER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2014
Last Update Date: 08/03/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 S LIMESTONE ST ROOM K403
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

6410 FANNIN ST STE 1535
HOUSTON TX
77030-5306
US

V. Phone/Fax

Practice location:
  • Phone: 859-218-3044
  • Fax:
Mailing address:
  • Phone: 713-799-2429
  • Fax: 713-790-0505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberTP460
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberR3661
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberTP460
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: