Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | MD000022232 | WA |
Y | 207VE0102X | Reproductive Endocrinologist | Q2634 | TX |
NPI | 1083731376 |
---|---|
Provider Name | Dr. Paul W. Zarutskie |
First Address | Houston, TX 77030-3411 |
Second Address | Houston, TX 77030-2351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 26/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
343739401 | (05) | TX |
363261YL1M | (02) | TX |
Q2634 | TEXAS MEDICAL LICENSE (01) | TX |