Provider Demographics
NPI:1740835271
Name:ZCLINIC FAMILY HEALTH CARE
Entity type:Organization
Organization Name:ZCLINIC FAMILY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:ORALIA
Authorized Official - Last Name:ZINN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:806-681-5565
Mailing Address - Street 1:36 TASCOCITA CIR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-7301
Mailing Address - Country:US
Mailing Address - Phone:806-681-5565
Mailing Address - Fax:
Practice Address - Street 1:36 TASCOCITA CIR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-7301
Practice Address - Country:US
Practice Address - Phone:806-681-5565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP116189OtherSTATE LICENSE