Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P4862 | TX |
N | 111NI0900X | Internist | P4862 | TX |
Y | 207RC0200X | Critical Care Medicine | P4862 | TX |
N | 207RP1001X | Pulmonary Disease | P4862 | TX |
NPI | 1063701605 |
---|---|
Provider Name | Dr. Zachary Scott Dreyfuss |
First Address | Dallas, TX 75208-2312 |
Second Address | Dallas, TX 75208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 05/06/2018 |