Provider Demographics
NPI:1356396832
Name:ZALE, BRIAN WM (DPM)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:WM
Last Name:ZALE
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:3926 AVENUE H
Mailing Address - Street 2:STE 17
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-2842
Mailing Address - Country:US
Mailing Address - Phone:281-980-3338
Mailing Address - Fax:281-980-0646
Practice Address - Street 1:3926 AVENUE H
Practice Address - Street 2:STE 17
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2842
Practice Address - Country:US
Practice Address - Phone:281-980-3338
Practice Address - Fax:281-980-0646
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2018-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX0736213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092837601Medicaid
TXT16791Medicare UPIN