Provider Demographics
NPI:1093703720
Name:POSEY, REBECCA ZELLMER (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ZELLMER
Last Name:POSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7409 STALLION CIR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-6090
Mailing Address - Country:US
Mailing Address - Phone:817-430-1412
Mailing Address - Fax:817-430-1412
Practice Address - Street 1:1901 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2220
Practice Address - Country:US
Practice Address - Phone:972-579-8110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-06
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5679207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122691201OtherCSHCN
TX122691203Medicaid
TX82245FOtherBCBS
TX122691201OtherCSHCN
TX82245FMedicare PIN
TXE13734Medicare UPIN