Healthcare Provider Details

I. General information

NPI: 1063473254
Provider Name (Legal Business Name): CAESAR A ZUNIGA D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4646 N MESA ST
EL PASO TX
79912-6104
US

IV. Provider business mailing address

4646 N MESA ST
EL PASO TX
79912-6104
US

V. Phone/Fax

Practice location:
  • Phone: 915-313-6300
  • Fax: 915-521-2028
Mailing address:
  • Phone: 915-313-6300
  • Fax: 915-521-2028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number1400
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: