Provider Demographics
NPI:1073875027
Name:DR. BRIAN W. ZALE PC
Entity Type:Organization
Organization Name:DR. BRIAN W. ZALE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:ZALE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:281-980-3338
Mailing Address - Street 1:3425 HIGHWAY 6
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4512
Mailing Address - Country:US
Mailing Address - Phone:281-980-3338
Mailing Address - Fax:281-980-0646
Practice Address - Street 1:3425 HIGHWAY 6
Practice Address - Street 2:SUITE 104
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4512
Practice Address - Country:US
Practice Address - Phone:281-980-3338
Practice Address - Fax:281-980-0646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty