Zelazny, Gary Allen
Zelazny, Gary Allen is an sole proprietor health care provider with primary practice located at 3705 Medical Parkway Suite 455, Austin TX 78705. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Zelazny, Gary Allen can be contacted via phone (512) 454-9646.Contact Information
Primary practice address
3705 Medical Parkway Suite 455
Austin TX 78705
Phone: (512) 454-9646
Fax: (512) 323-6331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D4371 | Texas |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | D4371 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | D4371 | Texas |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | D4371 | Texas |
Profile Details
| NPI number | 1578530663 |
|---|---|
| LBN Legal business name | Zelazny, Gary Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578530663 | NPPES |
| Texas | MEDICAID | P000P2507 |
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