Healthcare Provider Details

I. General information

NPI: 1033680756
Provider Name (Legal Business Name): ZIPPO'S HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2018
Last Update Date: 06/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 BINZ ST
HOUSTON TX
77004-6900
US

IV. Provider business mailing address

1200 BINZ ST
HOUSTON TX
77004-6900
US

V. Phone/Fax

Practice location:
  • Phone: 713-828-2958
  • Fax: 832-538-1619
Mailing address:
  • Phone: 713-621-2556
  • Fax: 832-538-1619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246QI0000X
TaxonomyImmunology Pathology Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SANDRA RODRIGUEZ
Title or Position: MANAGER
Credential:
Phone: 713-621-2556