Healthcare Provider Details
I. General information
NPI: 1538703194
Provider Name (Legal Business Name): TERRIAH ANN ZUSCHLAG-HUNT LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/06/2019
Last Update Date: 11/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8001 S US HIGHWAY 75
SHERMAN TX
75090-5707
US
IV. Provider business mailing address
8001 S US HIGHWAY 75
SHERMAN TX
75090-5707
US
V. Phone/Fax
- Phone: 903-532-1400
- Fax:
- Phone: 903-532-1400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 164X00000X |
| Taxonomy | Licensed Vocational Nurse |
| License Number | 219431 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: