Healthcare Provider Details

I. General information

NPI: 1548716848
Provider Name (Legal Business Name): ZOOM HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 08/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12959 JUPITER ROAD SUITE 140
DALLAS TX
75238
US

IV. Provider business mailing address

12959 JUPITER ROAD SUITE 140
DALLAS TX
75238
US

V. Phone/Fax

Practice location:
  • Phone: 214-221-0132
  • Fax:
Mailing address:
  • Phone: 214-221-0132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GEORGE NEBE
Title or Position: ADMINISTRATOR
Credential:
Phone: 214-221-0132