Individual
DR. NICOLE DENISE ZADZILKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 724-7603
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
(254) 724-7603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q7618
TX
390200000X
Student in an Organized Health Care Education/Training Program
MT202161
PA
Other
Enumeration date
06/11/2012
Last updated
12/30/2020
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