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NPI Code Detail

MEDICARE: ZACHARY OLTMAN PA-C

MEDICARE: ZACHARY OLTMAN PA-C
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
1363A00000XPhysician AssistantPA14891TX

General Provider Information

NPI Number : 1922601194
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY OLTMAN PA-C
Provider Business Mailing Address
First Line : 5718 WESTHEIMER RD STE 1800
Second Line :
City : HOUSTON
State : TX
Zip : 77057-5773
Country : US
Telephone Number : 281-783-8162
Fax Number :
Provider Business Practice Location Address
First Line : 8720 HIGHWAY 6 STE 400
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-7108
Country : US
Telephone Number : 281-783-8162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 12/28/2022

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Directions to “ ZACHARY OLTMAN PA-C” Practice Location

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