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Contact Information

MIRANDA L ZIMMERMAN, ATC, LAT
13082 CENTERFIELD DRIVE
SUITE 200
HOUSTON, TX77070
 Phone: 281-737-0999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MIRANDA L ZIMMERMAN · (Female)

NPI # 1790359776
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 05/14/2021
Last updated 05/14/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # AT8216
  • MI Other 9101003777 BLUE CROSS BLUE SHEILD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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