Provider Demographics
NPI:1225037005
Name:ZEITMAN, HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:
Last Name:ZEITMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 WESTER WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1548
Mailing Address - Country:US
Mailing Address - Phone:972-931-1337
Mailing Address - Fax:
Practice Address - Street 1:6053 MAIN ST
Practice Address - Street 2:SUITE 130
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-4706
Practice Address - Country:US
Practice Address - Phone:972-625-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2507207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB27811Medicare UPIN
TX84T992Medicare PIN