MEDICARE: MR. ZACHARY DANIEL ARIAIL RN

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	163WX0106X	Occupational Health Registered Nurse	843181	TX

General Provider Information

NPI Number	:	1598463762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ZACHARY DANIEL ARIAIL RN

Provider Business Mailing Address
First Line	:	4511 DOSS RD LOT 19
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78734-1606
Country	:	US
Telephone Number	:	512-514-4842
Fax Number	:

Provider Business Practice Location Address
First Line	:	4511 DOSS RD LOT 19
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78734-1606
Country	:	US
Telephone Number	:	512-514-4842
Fax Number	:

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

Provider Enumeration Date	:	02/17/2023
Last Update Date	:	02/17/2023

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