Individual
JOSEPH LESLIE ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST # MS 01161B, TEMPLE, TX 76508-0001
(254) 724-2364
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(417) 315-3209
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
BP20076834
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2020
Last updated
07/09/2021
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