Healthcare Provider Details

I. General information

NPI: 1083173173
Provider Name (Legal Business Name): PATRICIA COLLEEN ZIPEROVICH DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA WERCHAN DC

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13617 INWOOD RD STE 210
DALLAS TX
75244-4629
US

IV. Provider business mailing address

2801 LIVE OAK ST APT 4201
DALLAS TX
75204-5725
US

V. Phone/Fax

Practice location:
  • Phone: 214-774-9500
  • Fax:
Mailing address:
  • Phone: 830-688-2284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number14051
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: