Provider Demographics
NPI:1700990736
Name:ZIMMET, STEVEN ERIC (MD, RVT, FAVPH)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ERIC
Last Name:ZIMMET
Suffix:
Gender:M
Credentials:MD, RVT, FAVPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 W 34TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-1433
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1500 W 34TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-1433
Practice Address - Country:US
Practice Address - Phone:512-485-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1239202K00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology