Zumwalt, Mimi A

Zumwalt, Mimi A is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Zumwalt, Mimi A can be contacted via phone (806) 743-2475.

Contact Information

Primary practice address
3601 4Th St Lubbock TX 79430-0002
Phone: (806) 743-2475
Fax: (806) 743-1394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X K8867 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X K8867 Texas

Profile Details

NPI number 1316928757
LBN Legal business name Zumwalt, Mimi A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated May 11th, 2023 - about 3 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 1316928757 NPPES
Texas Other 127647100 FIRSTCARE COMMERCIAL
Texas Other 64481 FIRSTCARE COMMERCIAL
Texas MEDICAID 100078050A FIRSTCARE COMMERCIAL
Texas Other 84308Z FIRSTCARE COMMERCIAL
Texas MEDICAID 105457903 FIRSTCARE COMMERCIAL
Texas MEDICAID 105457901 FIRSTCARE COMMERCIAL
Texas MEDICAID 64481 FIRSTCARE COMMERCIAL
Texas Other 81155S FIRSTCARE COMMERCIAL
Texas Other A033 FIRSTCARE COMMERCIAL
Texas MEDICAID 66627 FIRSTCARE COMMERCIAL
Texas MEDICAID 127647101 FIRSTCARE COMMERCIAL
Texas Other X0112999 FIRSTCARE COMMERCIAL

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