Healthcare Provider Details

I. General information

NPI: 1720500184
Provider Name (Legal Business Name): ZIP ZAP IT SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 07/21/2022
Certification Date: 03/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6044 GATEWAY EAST SUITE 429
EL PASO TX
79905
US

IV. Provider business mailing address

500 N OREGON ST FL 2
EL PASO TX
79901-1121
US

V. Phone/Fax

Practice location:
  • Phone: 915-519-4082
  • Fax:
Mailing address:
  • Phone: 571-969-5660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. MARWAN ABU-FADEL
Title or Position: PRINCIPAL
Credential:
Phone: 703-507-0717