Provider Demographics
NPI:1063494839
Name:ZSOHAR, JEFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:ZSOHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 WORTH ST
Mailing Address - Street 2:BAYLOR COMMUNITY CARE AT WORTH ST
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1608
Mailing Address - Country:US
Mailing Address - Phone:214-828-1745
Mailing Address - Fax:214-828-1734
Practice Address - Street 1:4001 WORTH ST
Practice Address - Street 2:BAYLOR COMMUNITY CARE AT WORTH ST
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1608
Practice Address - Country:US
Practice Address - Phone:214-828-1745
Practice Address - Fax:214-828-1734
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN40283207R00000X
TXP4275207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1509158Medicaid
TX312802701Medicaid
TN1509158Medicaid
TX267255YKY6Medicare PIN