Individual
ETHAN ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
901 MOPAC EXPRESSWAY SOUTH, BARTON OAKS PLAZA 4, SUITE 350, AUSTIN, TX 78746
(512) 347-0255
Mailing address
901 MOPAC EXPRESSWAY SOUTH, BARTON OAKS PLAZA 4, SUITE 350, AUSTIN, TX 78746
(512) 347-0255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10085T
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/14/2020
Last updated
11/18/2020
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