MEDICARE: LOUIS E. ZUNIGA PT PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier
2	332B00000X	Durable Medical Equipment & Medical Supplies	0089822	TX

General Provider Information

NPI Number	:	1053546036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUIS E. ZUNIGA PT PC

Provider Business Mailing Address
First Line	:	4646 N MESA ST
Second Line	:	SUITE B
City	:	EL PASO
State	:	TX
Zip	:	79912-6104
Country	:	US
Telephone Number	:	915-532-3707
Fax Number	:	915-532-2237

Provider Business Practice Location Address
First Line	:	4646 N MESA ST
Second Line	:	SUITE B
City	:	EL PASO
State	:	TX
Zip	:	79912-6104
Country	:	US
Telephone Number	:	915-532-3707
Fax Number	:	915-532-2237

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LOUIS E ZUNIGA
Credential	:	PT PC
Telephone Number	:	915-755-0738

Provider Enumeration Date	:	05/20/2009
Last Update Date	:	12/04/2013

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