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Individual

DR. ERICA J ZWERNEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
731 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6377
(817) 912-8800
(817) 912-8810
Mailing address
731 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6377
(817) 912-8800
(817) 912-8810

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L0731
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045546101
TX
05
045546102
TX
01
85496X
BCBS
TX
Enumeration date
07/23/2006
Last updated
03/16/2023
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