Healthcare Provider Details

I. General information

NPI: 1326874181
Provider Name (Legal Business Name): NICOLE MARIE ZIPAY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7505 MAPLELEAF DR
NORTH RICHLAND HILLS TX
76182-7908
US

IV. Provider business mailing address

7505 MAPLELEAF DR
NORTH RICHLAND HILLS TX
76182-7908
US

V. Phone/Fax

Practice location:
  • Phone: 330-717-6663
  • Fax:
Mailing address:
  • Phone: 330-717-6663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number14122
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: