Individual
ZACHARY RADZISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 215-9790
(254) 215-9699
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
621-17
WI
367H00000X
Anesthesiologist Assistant
AA991
FL
367H00000X
Anesthesiologist Assistant
Primary
AA991
TX
367H00000X
Anesthesiologist Assistant
—
TX
Other
Enumeration date
09/11/2024
Last updated
07/15/2026
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