Individual
ZACHARY DEZEEUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 SUMMIT AVE, FT WORTH, TX 76102-4413
(817) 332-2020
Mailing address
1201 SUMMIT AVE, FT WORTH, TX 76102-4413
(817) 332-2020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10074447
TX
207W00000X
Ophthalmology Physician
W6611
TX
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
W6611
TX
Other
Enumeration date
06/10/2021
Last updated
08/06/2026
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