Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | L0729 | TX |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | L0729 | TX |
N | 2081P2900X | Pain Medicine | L0729 | TX |
NPI | 1124048335 |
---|---|
Provider Name | Dr. Kuno Peter Zimmermann |
First Address | Rosharon, TX 77583-2615 |
Second Address | Houston, TX 77030-4211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/07/2007 |