MEDICARE: DR. HENRY ZEITMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	F2507	TX

General Provider Information

NPI Number	:	1225037005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY ZEITMAN MD

Provider Business Mailing Address
First Line	:	7211 WESTER WAY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-1548
Country	:	US
Telephone Number	:	972-931-1337
Fax Number	:

Provider Business Practice Location Address
First Line	:	6053 MAIN ST
Second Line	:	SUITE 130
City	:	THE COLONY
State	:	TX
Zip	:	75056-4706
Country	:	US
Telephone Number	:	972-625-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	04/25/2014

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