Healthcare Provider Details

I. General information

NPI: 1750169298
Provider Name (Legal Business Name): LIGIA P CASTRO ZAMBRANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 09/18/2023
Certification Date: 09/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7729 MAPLE LANDING CT
EL PASO TX
79912-7199
US

IV. Provider business mailing address

7729 MAPLE LANDING CT
EL PASO TX
79912-7199
US

V. Phone/Fax

Practice location:
  • Phone: 915-539-8568
  • Fax:
Mailing address:
  • Phone: 915-539-8568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: