Provider Demographics
NPI:1154386829
Name:ZIPIN, JERETT AARON (DO)
Entity type:Individual
Prefix:DR
First Name:JERETT
Middle Name:AARON
Last Name:ZIPIN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:6210 E HIGHWAY 290
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-1142
Mailing Address - Country:US
Mailing Address - Phone:512-483-9569
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:2100 AUTUMN SLATE DR STE 150
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660
Practice Address - Country:US
Practice Address - Phone:737-220-7200
Practice Address - Fax:512-406-7339
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS1025204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX400567002Medicaid
TX400567001Medicaid