Provider Demographics
NPI:1780221598
Name:ZEST FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:ZEST FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHM
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:512-379-7272
Mailing Address - Street 1:1201 N LAKELINE BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-6780
Mailing Address - Country:US
Mailing Address - Phone:512-379-7272
Mailing Address - Fax:
Practice Address - Street 1:1201 N LAKELINE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6780
Practice Address - Country:US
Practice Address - Phone:512-970-5304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-30
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care