Individual provider · NPI-1

Zachary Cerini, M.D.

Family Medicine · Beaumont, TX

NPI number1487916102
StatusActive
Last updated in NPPESJan 2, 2017

Details

NPI
1487916102
Entity type
Individual (NPI-1)
Name
Zachary Cerini
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 8, 2012
Last updated
Jan 2, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineQ2749TXYes
207Q00000X Family MedicineMT202162PA

Practice location

5875 N Major Dr
Beaumont, TX 77713-9034

Phone 409-892-2262 · Fax 409-892-3336

Mailing address

919 Hidden Rdg
Irving, TX 75038-3813

Phone 469-282-2711 · Fax 469-282-0996

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