Provider Demographics
NPI:1154173987
Name:BLUE ZONE MEDICAL GROUP PLLC
Entity type:Organization
Organization Name:BLUE ZONE MEDICAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHINDLBECK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-781-1878
Mailing Address - Street 1:4040 LEGACY DR STE 203
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6748
Mailing Address - Country:US
Mailing Address - Phone:214-618-7746
Mailing Address - Fax:214-377-6243
Practice Address - Street 1:4040 LEGACY DR STE 203
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6748
Practice Address - Country:US
Practice Address - Phone:214-618-7746
Practice Address - Fax:214-377-6243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty