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Individual
ZACHARY SCOTT O'NEAL
Active
Individual
ZACHARY SCOTT O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219968901
—
TX
01
—
839N46
BCBS
TX
01
—
TXB121160
PTAN
TX
Enumeration date
07/29/2008
Last updated
10/12/2017
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