Healthcare Provider Details

I. General information

NPI: 1144064692
Provider Name (Legal Business Name): CESAR ZAPATA D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 WEST LOOP S STE 560
BELLAIRE TX
77401-4516
US

IV. Provider business mailing address

6800 WEST LOOP S STE 560
BELLAIRE TX
77401-4516
US

V. Phone/Fax

Practice location:
  • Phone: 713-839-7111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number40707
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: