Healthcare Provider Details

I. General information

NPI: 1194701748
Provider Name (Legal Business Name): JEFFREY ZATORSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 BINZ ST SUITE 300
HOUSTON TX
77004-6900
US

IV. Provider business mailing address

1200 BINZ ST SUITE 300
HOUSTON TX
77004-6900
US

V. Phone/Fax

Practice location:
  • Phone: 713-797-9191
  • Fax: 713-394-2852
Mailing address:
  • Phone: 713-797-9191
  • Fax: 713-394-2852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD2321
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: