Provider Demographics
NPI:1578571048
Name:ZEA, DANNY LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:LEE
Last Name:ZEA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 WESTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LOCKHART
Mailing Address - State:TX
Mailing Address - Zip Code:78644-4344
Mailing Address - Country:US
Mailing Address - Phone:512-398-2210
Mailing Address - Fax:
Practice Address - Street 1:210 E CROCKETT ST
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:TX
Practice Address - Zip Code:78648-2404
Practice Address - Country:US
Practice Address - Phone:830-875-1080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2674111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT16798Medicare UPIN
TX600957Medicare ID - Type Unspecified