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NPI Code Detail

MEDICARE: ZACHARY TABB

MEDICARE: ZACHARY TABB
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
1208000000XPediatrics Physician14216437-1205UT

General Provider Information

NPI Number : 1770087215
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY TABB
Provider Business Mailing Address
First Line : ONE BAYLOR PLAZA 320
Second Line : PEDIATRICS
City : HOUSTON
State : TX
Zip : 77030
Country : US
Telephone Number : 408-849-3242
Fax Number :
Provider Business Practice Location Address
First Line : 6621 FANNIN ST A1170
Second Line : PEDIATRIC HOUSE STAFF OFFICE
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number : 713-798-4951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 03/09/2026

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Directions to “ ZACHARY TABB ” Practice Location

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