Healthcare Provider Details

I. General information

NPI: 1356420566
Provider Name (Legal Business Name): ZOLTAN TRIZNA MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 03/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 BLUFFSTONE CV
AUSTIN TX
78759-7808
US

IV. Provider business mailing address

8500 BLUFFSTONE CV
AUSTIN TX
78759-7808
US

V. Phone/Fax

Practice location:
  • Phone: 512-328-2102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: ZOLTAN TRIZNA
Title or Position: DIRECTOR
Credential:
Phone: 512-328-2102