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General NPI Number Information
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NPI Number | 1407340607
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Entity Type | Individual
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Provider Name | ZACHARY JAMES FAUST OD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 2112 E MAIN ST
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City | UVALDE
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State | TX
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Zip | 78801
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Country | US
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Telephone | 830-278-2565
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Fax | 830-278-3718
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Provider Business Mailing Address
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Address Line | 10115 ROSEANGEL LN
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City | HELOTES
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State | TX
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Zip | 78023-3765
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Country | US
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Telephone | 479-790-5348
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9519T
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License Number State | TX
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