MEDICARE: DR. MICHAEL I ZUFLACHT M.D.

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	2084N0400X	Neurology Physician	D7379	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8CR321	OTHER	TX	BCBSTX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417938507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL I ZUFLACHT M.D.

Provider Business Mailing Address
First Line	:	303 E QUINCY ST STE 102
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-1922
Country	:	US
Telephone Number	:	210-229-7242
Fax Number	:	210-227-5092

Provider Business Practice Location Address
First Line	:	303 E QUINCY ST STE 102
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-1922
Country	:	US
Telephone Number	:	210-229-7242
Fax Number	:	210-227-5092

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

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	07/21/2022

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