Basic Information
Provider Information
NPI: 1114966199
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZENT
FirstName: RACHEL
MiddleName: M.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 911230
Address2:  
City: DALLAS
State: TX
PostalCode: 753911230
CountryCode: US
TelephoneNumber: 9729978000
FaxNumber: 9722340813
Practice Location
Address1: 3410 WORTH ST STE 160
Address2:  
City: DALLAS
State: TX
PostalCode: 752462092
CountryCode: US
TelephoneNumber: 2148269797
FaxNumber: 2148282089
Other Information
ProviderEnumerationDate: 06/06/2006
LastUpdateDate: 04/12/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XM2878TXN Allopathic & Osteopathic PhysiciansSurgery 
2086X0206XM2878TXY Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology

ID Information
IDTypeStateIssuerDescription
18258790105TX MEDICAID
8V235301TXBCBSOTHER
18258790205TX MEDICAID
18258790305TX MEDICAID
P0099837801TXRAILROAD MEDICAREOTHER


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