Provider Demographics
NPI:1548744204
Name:MOORE, ZAMANSKY (RN)
Entity Type:Individual
Prefix:
First Name:ZAMANSKY
Middle Name:
Last Name:MOORE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 PLEASANT COLONY DR APT 625
Mailing Address - Street 2:
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5415
Mailing Address - Country:US
Mailing Address - Phone:832-547-4001
Mailing Address - Fax:
Practice Address - Street 1:11111 PLEASANT COLONY DR APT 625
Practice Address - Street 2:
Practice Address - City:JERSEY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:77065-5415
Practice Address - Country:US
Practice Address - Phone:832-547-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX943565163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical