Provider Demographics
NPI:1326305616
Name:CRISLIP, ZACHARY LYNN (MD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:LYNN
Last Name:CRISLIP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3705 MEDICAL PKWY STE 250
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1022
Mailing Address - Country:US
Mailing Address - Phone:512-302-1210
Mailing Address - Fax:512-451-9752
Practice Address - Street 1:3705 MEDICAL PKWY STE 250
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-302-1210
Practice Address - Fax:512-334-1890
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2021-02-03
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Provider Licenses
StateLicense IDTaxonomies
TXR6764208600000X
OK29172208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery