Healthcare Provider Details

I. General information

NPI: 1306346135
Provider Name (Legal Business Name): RHONDA ZOLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2018
Last Update Date: 02/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5410 LOVING DR
GARLAND TX
75043-2713
US

IV. Provider business mailing address

5410 LOVING DR
GARLAND TX
75043-2713
US

V. Phone/Fax

Practice location:
  • Phone: 214-440-1961
  • Fax:
Mailing address:
  • Phone: 214-440-1961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number218798
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: