MEDICARE: EAST HOUSTON OBGYN & ASSOCIATES

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	174400000X	Specialist	F1325	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225219934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST HOUSTON OBGYN & ASSOCIATES

Provider Business Mailing Address
First Line	:	1910 JOHN RALSTON RD
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77013-5518
Country	:	US
Telephone Number	:	713-451-3030
Fax Number	:	713-451-6657

Provider Business Practice Location Address
First Line	:	1910 JOHN RALSTON RD
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77013-5518
Country	:	US
Telephone Number	:	713-451-3030
Fax Number	:	713-451-6657

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. VICENTE ZAPATA
Credential	:	M.D.
Telephone Number	:	713-451-3030

Provider Enumeration Date	:	11/21/2007
Last Update Date	:	06/25/2008

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Directions to “EAST HOUSTON OBGYN & ASSOCIATES ” Practice Location

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