Healthcare Provider Details

I. General information

NPI: 1285644021
Provider Name (Legal Business Name): NEAL A ZEIGLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 05/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 DOLFIE LN SUITE 101
ENNIS TX
75119-1585
US

IV. Provider business mailing address

1413 LINDA LN
CEDAR HILL TX
75104-3764
US

V. Phone/Fax

Practice location:
  • Phone: 972-875-4500
  • Fax:
Mailing address:
  • Phone: 214-949-2077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberM2508
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: