MEDICARE: ZAIDA PATRICIA ALBA

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	363LF0000X	Family Nurse Practitioner	1151038	TX

General Provider Information

NPI Number	:	1144071390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAIDA PATRICIA ALBA

Provider Business Mailing Address
First Line	:	2131 ROLLING WILD RD
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5440 HARVEST HILL RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-1607
Country	:	US
Telephone Number	:	646-647-7661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2024
Last Update Date	:	03/27/2024

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Directions to “ ZAIDA PATRICIA ALBA ” Practice Location

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