Provider Demographics
NPI:1366180150
Name:ZIMMERMAN, DUSTIN (PA-C)
Entity type:Individual
Prefix:
First Name:DUSTIN
Middle Name:
Last Name:ZIMMERMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 GENERATIONS DR STE 205
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0513
Mailing Address - Country:US
Mailing Address - Phone:830-445-4080
Mailing Address - Fax:830-445-4090
Practice Address - Street 1:741 GENERATIONS DR STE 205
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-0513
Practice Address - Country:US
Practice Address - Phone:830-445-4080
Practice Address - Fax:830-445-4090
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA15637363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical