Provider Demographics
NPI:1417290156
Name:ROSOL, ZACHARY PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:PAUL
Last Name:ROSOL
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 1:621 N HALL ST STE 500
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75226-1301
Mailing Address - Country:US
Mailing Address - Phone:469-800-7400
Mailing Address - Fax:
Practice Address - Street 1:621 N HALL ST STE 500
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226-1301
Practice Address - Country:US
Practice Address - Phone:469-800-7400
Practice Address - Fax:469-800-7410
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN390200000X
390200000X
TXR2721207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program