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Individual

MICHAEL E ZWILLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6565 FANNIN ST, B452, HOUSTON, TX 77030-2703
(713) 441-3620
Mailing address
6565 FANNIN ST, B452, HOUSTON, TX 77030-2703
(713) 441-3620

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
M4687
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184277501
TX
05
184277502
TX
05
184277503
TX
01
8W4772
BLUE CROSS BLUE SHIELD
TX
01
P00371854
RAILROAD MEDICARE
TX
01
P01031020
RR MEDICARE
TX
01
P01311970
RR MEDICARE
TX
Enumeration date
07/19/2006
Last updated
11/05/2014
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