Healthcare Provider Details

I. General information

NPI: 1972347672
Provider Name (Legal Business Name): MADILYN ZAPATA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2024
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 E MERCER ST STE A
DRIPPING SPRINGS TX
78620-4037
US

IV. Provider business mailing address

151 E MERCER ST STE A
DRIPPING SPRINGS TX
78620-4037
US

V. Phone/Fax

Practice location:
  • Phone: 512-820-3825
  • Fax: 512-919-4045
Mailing address:
  • Phone: 512-820-3825
  • Fax: 512-919-4045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: