Healthcare Provider Details

I. General information

NPI: 1033023155
Provider Name (Legal Business Name): KEVIN ZUNIGA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 HAWKINS BLVD
EL PASO TX
79925-2648
US

IV. Provider business mailing address

180 1/2 S CLARK DR
EL PASO TX
79905-4708
US

V. Phone/Fax

Practice location:
  • Phone: 915-642-9274
  • Fax:
Mailing address:
  • Phone: 915-408-8447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: