Healthcare Provider Details

I. General information

NPI: 1952077711
Provider Name (Legal Business Name): ZENITH SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2021
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1770 STATE HIGHWAY 46 W
NEW BRAUNFELS TX
78132-5391
US

IV. Provider business mailing address

1672 INDEPENDENCE DR STE 310
NEW BRAUNFELS TX
78132-3982
US

V. Phone/Fax

Practice location:
  • Phone: 830-631-8182
  • Fax: 830-302-2087
Mailing address:
  • Phone: 830-730-5025
  • Fax: 830-620-4276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: VERONICA HARLAN
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 830-730-5025