Healthcare Provider Details

I. General information

NPI: 1710052014
Provider Name (Legal Business Name): GLORIA ANGELINA CASTRO-ZAPPIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 04/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 STAGG DR
BEAUMONT TX
77701-4509
US

IV. Provider business mailing address

3555 STAGG DRIVE
BEAUMONT TX
77701-5534
US

V. Phone/Fax

Practice location:
  • Phone: 409-212-5929
  • Fax: 409-212-5981
Mailing address:
  • Phone: 409-212-5929
  • Fax: 409-212-5981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberE9144
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: