O'Neal, Zachary Scott

O'Neal, Zachary Scott is an individual health care provider with primary practice located at 3502 Knickerbocker Rd , San Angelo TX 76904-7671. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. O'Neal, Zachary Scott can be contacted via phone (325) 481-2222.

Contact Information

Primary practice address
3502 Knickerbocker Rd San Angelo TX 76904-7671
Fax: (325) 481-2232
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05840 Texas

Profile Details

NPI number 1801052949
LBN Legal business name O'Neal, Zachary Scott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Oct 12th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801052949 NPPES
Texas Other 839N46 BCBS
Texas Other TXB121160 BCBS
Texas MEDICAID 219968901 BCBS

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