Provider Demographics
NPI:1134156490
Name:MUCHER, ZACHARY ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:ROBERT
Last Name:MUCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 FROSTWOOD DR
Mailing Address - Street 2:STE 1.100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:713-338-5566
Mailing Address - Fax:
Practice Address - Street 1:915 GESSNER RD STE 720
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2530
Practice Address - Country:US
Practice Address - Phone:713-830-9100
Practice Address - Fax:713-830-9180
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2014-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNM2412208800000X
TXM2412208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215111002Medicaid
TX215111001Medicaid
TXP00858542OtherRAILROAD MEDICARE
TX041371804Medicaid
TX215111002Medicaid
TXTXB116257Medicare PIN
TXTXB110395Medicare PIN