Provider Demographics
NPI:1083173173
Name:ZIPEROVICH, PATRICIA COLLEEN (DC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:COLLEEN
Last Name:ZIPEROVICH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:WERCHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2801 LIVE OAK ST APT 4201
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-5725
Mailing Address - Country:US
Mailing Address - Phone:830-688-2284
Mailing Address - Fax:
Practice Address - Street 1:13617 INWOOD RD STE 210
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4629
Practice Address - Country:US
Practice Address - Phone:214-774-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14051111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician