Provider Demographics
NPI:1568681443
Name:GEOFF A ZIMMERMAN, MD, PA
Entity Type:Organization
Organization Name:GEOFF A ZIMMERMAN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-398-8484
Mailing Address - Street 1:777 S FRY RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2244
Mailing Address - Country:US
Mailing Address - Phone:281-398-8484
Mailing Address - Fax:281-398-8483
Practice Address - Street 1:777 S FRY RD
Practice Address - Street 2:SUITE 103
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2244
Practice Address - Country:US
Practice Address - Phone:281-398-8484
Practice Address - Fax:281-398-8483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4685207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty