Provider Demographics
NPI:1902317050
Name:ZOOM HEALTH SERVICES INCORPORATION
Entity Type:Organization
Organization Name:ZOOM HEALTH SERVICES INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEROGE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-221-0132
Mailing Address - Street 1:12959 JUPITER RD STE 140
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-3200
Mailing Address - Country:US
Mailing Address - Phone:214-221-0132
Mailing Address - Fax:214-221-0242
Practice Address - Street 1:12959 JUPITER RD STE 140
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-3200
Practice Address - Country:US
Practice Address - Phone:214-221-0132
Practice Address - Fax:214-221-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-17
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QM0850X
261QR0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care