Provider Demographics
NPI:1720119415
Name:ZOYS, TIMOTHY NICK (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:NICK
Last Name:ZOYS
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 1:7777 FOREST LN STE C502
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6843
Mailing Address - Country:US
Mailing Address - Phone:972-566-8999
Mailing Address - Fax:972-566-8998
Practice Address - Street 1:7777 FOREST LN STE C502
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6843
Practice Address - Country:US
Practice Address - Phone:972-566-8999
Practice Address - Fax:972-566-8998
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101972207LP2900X
TXJ1161208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F83053Medicare UPIN
0049CCMedicare ID - Type Unspecified