Provider Demographics
NPI:1093979510
Name:ZMK MANAGEMENT
Entity Type:Organization
Organization Name:ZMK MANAGEMENT
Other - Org Name:DALLAS BARIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NIRMAL
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:JAYASEELAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-566-2263
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:SUITE CA94
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2696 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6441
Practice Address - Country:US
Practice Address - Phone:972-566-2263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital