Individual
DR. DAVID R ZIMMERMANN
Active
Individual
DR. DAVID R ZIMMERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
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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