Provider Demographics
NPI:1154782829
Name:ALINE C ZERINGUE ACNS-BC, PLLC
Entity type:Organization
Organization Name:ALINE C ZERINGUE ACNS-BC, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ALINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZERINGUE
Authorized Official - Suffix:
Authorized Official - Credentials:ACNS-BC
Authorized Official - Phone:512-452-2506
Mailing Address - Street 1:6303 FERN SPRING CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-2838
Mailing Address - Country:US
Mailing Address - Phone:512-452-2506
Mailing Address - Fax:512-371-0187
Practice Address - Street 1:807 STARK ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-1508
Practice Address - Country:US
Practice Address - Phone:512-452-2506
Practice Address - Fax:512-371-0187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX664501364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult HealthGroup - Single Specialty