Provider Demographics
NPI:1023519972
Name:ZIMA CONCIERGE MEDICAL SERVICES PLLC
Entity type:Organization
Organization Name:ZIMA CONCIERGE MEDICAL SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OBINNA
Authorized Official - Middle Name:H
Authorized Official - Last Name:OZIGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-695-8111
Mailing Address - Street 1:12030 BANDERA RD STE 128
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4776
Mailing Address - Country:US
Mailing Address - Phone:210-695-8111
Mailing Address - Fax:210-332-8510
Practice Address - Street 1:12030 BANDERA RD STE 128
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4776
Practice Address - Country:US
Practice Address - Phone:210-695-8111
Practice Address - Fax:210-332-8510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5867207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty