Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 35838 | AZ |
N | 2081P2900X | Pain Medicine | 35838 | AZ |
NPI | 1285741587 |
---|---|
Provider Name | Dina I Zaza III |
First Address | Houston, TX 77090-3000 |
Second Address | Phoenix, AZ 85015-5101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 30/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I31809 | (02) | NY |