Provider Demographics
NPI:1427521426
Name:ZIKS HEALTH SERVICES
Entity type:Organization
Organization Name:ZIKS HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONIER
Authorized Official - Prefix:
Authorized Official - First Name:NJIDEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMRUFUS
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:817-524-7107
Mailing Address - Street 1:9330 LBJ FWY STE 948
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3436
Mailing Address - Country:US
Mailing Address - Phone:817-524-7107
Mailing Address - Fax:956-267-1142
Practice Address - Street 1:9330 LBJ FWY STE 948
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3436
Practice Address - Country:US
Practice Address - Phone:972-972-4850
Practice Address - Fax:956-267-1142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty