Basic Information
| Provider Information | |||||||||
| NPI: | 1396155966 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZITO | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | DAVID | ||||||||
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| Credential: | MBBS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12697 E 51ST ST | ||||||||
| Address2: | |||||||||
| City: | TULSA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 741466236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123248355 | ||||||||
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| Practice Location | |||||||||
| Address1: | 601 E 15TH ST | ||||||||
| Address2: | UT SOUTHWESTERN INTERNAL MED, UNIVERSITY MED CENTER | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787011930 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123248355 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2014 | ||||||||
| LastUpdateDate: | 07/27/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 309958 | LA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | R3253 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.