Healthcare Provider Details

I. General information

NPI: 1538977145
Provider Name (Legal Business Name): LAUREN ZAPATA AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2024
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 FRANCISCAN DR
BRYAN TX
77802-2544
US

IV. Provider business mailing address

2700 E 29TH ST STE 260
BRYAN TX
77802-2587
US

V. Phone/Fax

Practice location:
  • Phone: 979-776-3777
  • Fax:
Mailing address:
  • Phone: 979-774-0012
  • Fax: 979-774-4636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1179572
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: