Provider Demographics
NPI:1639617806
Name:ZEAL MEDICAL CENTER, P.L.L.C.
Entity Type:Organization
Organization Name:ZEAL MEDICAL CENTER, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:N
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-470-0028
Mailing Address - Street 1:4006 S LAMAR BLVD
Mailing Address - Street 2:STE. 650
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-8802
Mailing Address - Country:US
Mailing Address - Phone:512-474-5433
Mailing Address - Fax:512-469-0717
Practice Address - Street 1:4006 S LAMAR BLVD
Practice Address - Street 2:STE. 650
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-8802
Practice Address - Country:US
Practice Address - Phone:512-474-5433
Practice Address - Fax:512-469-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty