Healthcare Provider Details

I. General information

NPI: 1760655781
Provider Name (Legal Business Name): CAESAR A ZUNIGA, DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 MURCHISON DR STE 104
EL PASO TX
79902-3058
US

IV. Provider business mailing address

PO BOX 12682
EL PASO TX
79913-0682
US

V. Phone/Fax

Practice location:
  • Phone: 915-759-6223
  • Fax:
Mailing address:
  • Phone: 915-759-6223
  • Fax:

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: DR. CAESAR A ZUNIGA
Title or Position: PHYSICIAN
Credential: DPM
Phone: 915-759-6223