Individual
MRS. ACHAMMA ZACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP117049
TX
363LA2200X
Adult Health Nurse Practitioner
AP117049
TX
363LP2300X
Primary Care Nurse Practitioner
643866
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
643866
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206167302
—
TX
05
—
206167303
—
TX
05
—
206167304
—
TX
05
—
206167311
—
TX
01
—
8430NZ
BCBS
TX
01
—
8N0232
BCBS
TX
01
—
P01446809
RR
TX
Enumeration date
12/30/2008
Last updated
05/31/2018
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