Healthcare Provider Details

I. General information

NPI: 1255938916
Provider Name (Legal Business Name): ZAVERA MCDONALD FNP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 JAMES BOWIE DR STE B107
BAYTOWN TX
77520-3367
US

IV. Provider business mailing address

1610 JAMES BOWIE DR STE B107
BAYTOWN TX
77520-3367
US

V. Phone/Fax

Practice location:
  • Phone: 281-839-7899
  • Fax: 281-519-1838
Mailing address:
  • Phone: 281-839-7899
  • Fax: 281-519-1838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ZAVERA MCDONALD
Title or Position: OWNER
Credential: FNP
Phone: 281-865-9751