MEDICARE: MARY ELIZABETH ZUELZER 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	2084P0800X	Psychiatry Physician	H4858	TX

General Provider Information

NPI Number	:	1720148315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELIZABETH ZUELZER MD

Provider Business Mailing Address
First Line	:	14800 US 281 N
Second Line	:	SUITE 110
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-3734
Country	:	US
Telephone Number	:	210-490-9850
Fax Number	:	210-490-1465

Provider Business Practice Location Address
First Line	:	14800 US 281 N
Second Line	:	SUITE 110
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-3734
Country	:	US
Telephone Number	:	210-490-9850
Fax Number	:	210-490-1465

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	07/12/2007

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