Provider Demographics
NPI:1336121706
Name:ZIMMERMANN, CLAUDIA PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:PATRICIA
Last Name:ZIMMERMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 SANTA FE ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1439
Mailing Address - Country:US
Mailing Address - Phone:361-888-5600
Mailing Address - Fax:361-888-8904
Practice Address - Street 1:1621 S BROWNLEE BLVD
Practice Address - Street 2:STE 101
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3133
Practice Address - Country:US
Practice Address - Phone:361-888-5600
Practice Address - Fax:361-888-8904
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK19642084N0400X, 2084S0012X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096226801Medicaid
TXK1964OtherMEDICAL LICENSE NUMBER
TXK1964OtherMEDICAL LICENSE NUMBER
TX00020JMedicare ID - Type UnspecifiedMEDICARE