Healthcare Provider Details

I. General information

NPI: 1871247320
Provider Name (Legal Business Name): DANIELA ESTHER MEJIA ZAPATA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2022
Last Update Date: 02/03/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 SW 10TH ST
OKLAHOMA CITY OK
73109-5610
US

IV. Provider business mailing address

3228 SW 61ST ST
OKLAHOMA CITY OK
73159-1204
US

V. Phone/Fax

Practice location:
  • Phone: 405-236-0701
  • Fax:
Mailing address:
  • Phone: 405-926-0995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: