Provider Demographics
NPI:1477576197
Name:ZEMENICK, RICHARD BENEDICT (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:BENEDICT
Last Name:ZEMENICK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6411 AMICABLE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-2009
Mailing Address - Country:US
Mailing Address - Phone:214-512-2651
Mailing Address - Fax:
Practice Address - Street 1:5909 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-6209
Practice Address - Country:US
Practice Address - Phone:214-879-2790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0843207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00070QMedicare PIN
A67842Medicare UPIN