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General NPI Number Information
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NPI Number | 1629430962
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Entity Type | Organization
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Legal Business Name | ZOEMED HEALTH CARE PLLC
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Dates
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Enumeration Date | 03/25/2016
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 4100 HERITAGE AVE SUITE106
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City | GRAPEVINE
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State | TX
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Zip | 76051-5714
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Country | US
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Telephone | 817-283-1112
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Fax | 817-282-1116
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Provider Business Mailing Address
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Address Line | 5205 TOPAZ CT
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City | FLOWER MOUND
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State | TX
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Zip | 75022-8143
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Country | US
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Telephone | 214-616-1967
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Fax | 866-612-6169
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Authorized Official
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Title or Position | OWNER
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Name | PRIYA MATHEW PHILIP
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Credential | MD
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Telephone | 214-616-1967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L5513
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License Number State | TX
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