Provider Demographics
NPI:1902677016
Name:ZOE METABOLIX
Entity Type:Organization
Organization Name:ZOE METABOLIX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BONAPARTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-816-1676
Mailing Address - Street 1:214 MAPLE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-1010
Mailing Address - Country:US
Mailing Address - Phone:832-259-1362
Mailing Address - Fax:281-741-2892
Practice Address - Street 1:3315 BURKE RD STE 250
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1823
Practice Address - Country:US
Practice Address - Phone:866-734-1962
Practice Address - Fax:281-741-2892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty