Healthcare Provider Details

I. General information

NPI: 1861098014
Provider Name (Legal Business Name): ZOL MEDICAL PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2020
Last Update Date: 12/11/2020
Certification Date: 12/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15200 SOUTHWEST FWY STE 150
SUGAR LAND TX
77478-3843
US

IV. Provider business mailing address

15200 SOUTHWEST FWY STE 150
SUGAR LAND TX
77478-3843
US

V. Phone/Fax

Practice location:
  • Phone: 281-313-0090
  • Fax: 866-912-7672
Mailing address:
  • Phone: 281-313-0090
  • Fax: 866-912-7672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARCO A VARGAS
Title or Position: OWNER
Credential: DPM
Phone: 281-313-0090