MEDICARE: ZOE METABOLIX

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1902677016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOE METABOLIX

Provider Business Mailing Address
First Line	:	214 MAPLE VALLEY RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-1010
Country	:	US
Telephone Number	:	832-259-1362
Fax Number	:	281-741-2892

Provider Business Practice Location Address
First Line	:	3315 BURKE RD STE 250
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-1823
Country	:	US
Telephone Number	:	866-734-1962
Fax Number	:	281-741-2892

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. BERNADETTE D BONAPARTE
Credential	:	MD
Telephone Number	:	713-816-1676

Provider Enumeration Date	:	01/09/2024
Last Update Date	:	01/09/2024

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Directions to “ZOE METABOLIX ” Practice Location

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