Provider Demographics
NPI:1679873699
Name:ZOOK, HELEN CECILLE (PA-C)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:CECILLE
Last Name:ZOOK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 W KOENIG LN
Mailing Address - Street 2:100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-1213
Mailing Address - Country:US
Mailing Address - Phone:512-454-9426
Mailing Address - Fax:512-454-7294
Practice Address - Street 1:101 W KOENIG LN
Practice Address - Street 2:100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1213
Practice Address - Country:US
Practice Address - Phone:512-454-9426
Practice Address - Fax:512-454-7294
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA00240363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical