Provider Demographics
NPI:1043681711
Name:ZATKALIK, VIKTORIA (NP-C)
Entity Type:Individual
Prefix:
First Name:VIKTORIA
Middle Name:
Last Name:ZATKALIK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 797171
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75379-7171
Mailing Address - Country:US
Mailing Address - Phone:214-494-4424
Mailing Address - Fax:214-494-4423
Practice Address - Street 1:109 RIVER OAKS DR STE 150
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6764
Practice Address - Country:US
Practice Address - Phone:817-379-9922
Practice Address - Fax:817-379-9998
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP1285472084N0400X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily