Individual
DR. ZACHARY D WASSMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12309 N MOPAC EXPY STE 100, AUSTIN, TX 78758-2604
(512) 339-4040
(512) 339-1663
Mailing address
12309 N MOPAC EXPRESSWAY, SUITE 100, AUSTIN, TX 78758-2577
(512) 339-4040
(512) 997-9077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L5608
TX
207Y00000X
Otolaryngology Physician
Primary
L5608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3389220
AETNA
—
Enumeration date
02/13/2006
Last updated
05/02/2019
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