Provider Demographics
NPI:1538841283
Name:ZIA RURAL PHYSICIANS GROUP LLC
Entity type:Organization
Organization Name:ZIA RURAL PHYSICIANS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOLTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-434-0211
Mailing Address - Street 1:30 N GOULD ST # 4913
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-6317
Mailing Address - Country:US
Mailing Address - Phone:307-222-3613
Mailing Address - Fax:
Practice Address - Street 1:13745 CAYO GORDA CT
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-6301
Practice Address - Country:US
Practice Address - Phone:702-888-2067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center