Basic Information
| Provider Information | |||||||||
| NPI: | 1952077711 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ZENITH SPECIALISTS PLLC | ||||||||
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| OtherOrganizationName: | ZENITH SPECIALISTS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1672 INDEPENDENCE DR STE 310 | ||||||||
| Address2: | |||||||||
| City: | NEW BRAUNFELS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781323982 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8307305025 | ||||||||
| FaxNumber: | 8306204276 | ||||||||
| Practice Location | |||||||||
| Address1: | 1770 STATE HIGHWAY 46 W | ||||||||
| Address2: | |||||||||
| City: | NEW BRAUNFELS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781325391 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8306318182 | ||||||||
| FaxNumber: | 8307304203 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2021 | ||||||||
| LastUpdateDate: | 09/28/2022 | ||||||||
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| AuthorizedOfficialLastName: | HARLAN | ||||||||
| AuthorizedOfficialFirstName: | VERONICA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8307305025 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 09/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 261QM1300X | N | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | 174400000X | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.