Provider Demographics
NPI:1487879755
Name:ZIK, BRUCE DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:DANIEL
Last Name:ZIK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12720 HILLCREST RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2035
Mailing Address - Country:US
Mailing Address - Phone:972-991-9900
Mailing Address - Fax:972-991-8034
Practice Address - Street 1:12720 HILLCREST RD
Practice Address - Street 2:SUITE 350
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2035
Practice Address - Country:US
Practice Address - Phone:972-991-9900
Practice Address - Fax:972-991-8034
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2011-06-03
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Provider Licenses
StateLicense IDTaxonomies
TXG39302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB27830WMedicare UPIN