Healthcare Provider Details

I. General information

NPI: 1437449014
Provider Name (Legal Business Name): FRANCIS CHARLES ZUCCONI CERTIFIED NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2011
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 SCENIC DR SUITE 103
ROWLETT TX
75088-4552
US

IV. Provider business mailing address

6800 SCENIC DR SUITE 103
ROWLETT TX
75088-4552
US

V. Phone/Fax

Practice location:
  • Phone: 972-412-1034
  • Fax: 972-475-5708
Mailing address:
  • Phone: 972-412-1034
  • Fax: 972-475-5708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number656886
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: