Individual
DR. DAVID R ZIMMERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
616 W RUSSELL PL, SAN ANTONIO, TX 78212-3658
(800) 257-8715
(800) 819-1655
Mailing address
6915 ROBERT DIXON DR, AUSTIN, TX 78749-2268
(512) 892-2196
(800) 819-1655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23396
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115667101
—
TX
05
—
115667102
—
TX
01
—
620003797
RAILROAD
TX
01
—
86044A
BLUE CROSS BLUE SHIELD
TX
01
—
86122A
BLUE CROSS BLUE SHIELD
TX
01
—
86147A
BLUE CROSS BLUE SHIELD
TX
01
—
86383A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/03/2006
Last updated
02/17/2010
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