Healthcare Provider Details

I. General information

NPI: 1326171927
Provider Name (Legal Business Name): COLETTE YVONNE ZYGMONT D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 S LAMAR BLVD STE B
AUSTIN TX
78704-1509
US

IV. Provider business mailing address

809 S LAMAR BLVD STE B
AUSTIN TX
78704-1509
US

V. Phone/Fax

Practice location:
  • Phone: 512-442-7400
  • Fax: 512-474-0717
Mailing address:
  • Phone: 512-442-7400
  • Fax: 512-474-0717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4624
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number4624
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number4624
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: