Provider Demographics
NPI:1134278260
Name:ZACHARY, WILLIAM JOSEPH (TXLAC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:ZACHARY
Suffix:
Gender:M
Credentials:TXLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 MEDICAL ARTS ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3305
Mailing Address - Country:US
Mailing Address - Phone:512-825-3305
Mailing Address - Fax:816-817-3305
Practice Address - Street 1:3004 MEDICAL ARTS ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3305
Practice Address - Country:US
Practice Address - Phone:512-825-3305
Practice Address - Fax:816-817-3305
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00757171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist