Provider Demographics
NPI:1164606232
Name:ZUCH, ROBERTA LYNNE
Entity Type:Individual
Prefix:
First Name:ROBERTA
Middle Name:LYNNE
Last Name:ZUCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 NORTH TENNESSEE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069
Mailing Address - Country:US
Mailing Address - Phone:972-396-4900
Mailing Address - Fax:972-396-4901
Practice Address - Street 1:116 N TENNESSEE ST
Practice Address - Street 2:SUITE 203
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4358
Practice Address - Country:US
Practice Address - Phone:972-396-4900
Practice Address - Fax:972-396-4901
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor