Provider Demographics
NPI:1790485605
Name:TOMIC, ZORICA (FNP)
Entity Type:Individual
Prefix:
First Name:ZORICA
Middle Name:
Last Name:TOMIC
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5803 HUDSON ST APT 2
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-8070
Mailing Address - Country:US
Mailing Address - Phone:214-802-5289
Mailing Address - Fax:
Practice Address - Street 1:6825 SNIDER PLZ
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-1330
Practice Address - Country:US
Practice Address - Phone:469-868-6005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1112548363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty