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Individual

JOSEPH M ZASIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
619 S FLEISHEL AVE, TYLER, TX 75701-2004
(903) 606-2299
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G4072
TX
207RP1001X
Pulmonary Disease Physician
OS004057L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010727100003
PA
01
01238401
CAPITAL BLUE CROSS
PA
01
067826
HIGHMARK BLUE SHIELD
PA
01
290001397
PALMETTO GBA
01
75-2616977-123
TRICARE
TX
01
752616977180
TRICARE
TX
01
8BC074
BCBS OF TEXAS
TX
Enumeration date
05/09/2006
Last updated
02/03/2023
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