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Individual
KENT H ZIESER
Active
Individual
KENT H ZIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A138506
NM
207R00000X
Internal Medicine Physician
Primary
L9973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169250102
—
TX
05
—
169250103
—
TX
01
—
1881791978
NPI
—
05
—
41572882
—
NM
01
—
P00406313
RAILROAD MEDICARE PIN
NM
Enumeration date
09/20/2006
Last updated
06/18/2018
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