Healthcare Provider Details

I. General information

NPI: 1588106546
Provider Name (Legal Business Name): RAMON LUIS ZAPATA SIRVENT M.D. FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2016
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 UNIVERSITY BLVD ROUTE 0534
GALVESTON TX
77555-0534
US

IV. Provider business mailing address

301 UNIVERSITY BLVD ROUTE 0534
GALVESTON TX
77555-0534
US

V. Phone/Fax

Practice location:
  • Phone: 409-772-0531
  • Fax: 409-772-0557
Mailing address:
  • Phone: 409-772-0531
  • Fax: 409-772-0557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number47746
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number47145
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberCE00008
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberBP10058532
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number47746
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: