Provider Demographics
NPI:1306401609
Name:ZIMZIM & ISSA PLLC
Entity Type:Organization
Organization Name:ZIMZIM & ISSA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-717-3500
Mailing Address - Street 1:1610 E PARMER LN STE E
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-7143
Mailing Address - Country:US
Mailing Address - Phone:737-717-3500
Mailing Address - Fax:737-202-4287
Practice Address - Street 1:11330 MANCHACA RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-2879
Practice Address - Country:US
Practice Address - Phone:737-717-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEAK DENTAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty