Provider Demographics
NPI:1801372321
Name:FRANCIS, ZACHARY (LVN)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 GATEWAY BLVD APT 724
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-2755
Mailing Address - Country:US
Mailing Address - Phone:210-577-8091
Mailing Address - Fax:
Practice Address - Street 1:7601 GATEWAY BLVD APT 724
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-2755
Practice Address - Country:US
Practice Address - Phone:210-577-8091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX333110164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty