Provider Demographics
NPI:1710592621
Name:MARCUS ZACHARY, D.O., P.C.
Entity Type:Organization
Organization Name:MARCUS ZACHARY, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZACHARY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:415-353-6817
Mailing Address - Street 1:801 BARTON SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-1146
Mailing Address - Country:US
Mailing Address - Phone:800-475-6168
Mailing Address - Fax:855-943-1026
Practice Address - Street 1:7111 N FRESNO ST STE 200
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2959
Practice Address - Country:US
Practice Address - Phone:415-353-6817
Practice Address - Fax:855-943-1026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty