Provider Demographics
NPI:1356420566
Name:ZOLTAN TRIZNA MD, PA
Entity type:Organization
Organization Name:ZOLTAN TRIZNA MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZOLTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIZNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-328-2102
Mailing Address - Street 1:8500 BLUFFSTONE CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-7808
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8500 BLUFFSTONE CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-7808
Practice Address - Country:US
Practice Address - Phone:512-328-2102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00391UMedicare PIN