Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 122377 | TX |
NPI | 1215194006 |
---|---|
Provider Name | Kimberly Sue Zilske |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 05/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1538397120 | GROUP NPI (01) | MI |
270381199 | GROUP TAX ID (01) | MI |