Healthcare Provider Details
I. General information
NPI: 1689184038
Provider Name (Legal Business Name): JULIE LYNN ZAPATKA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/11/2017
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7400 FANNIN ST STE 840
HOUSTON TX
77054-1934
US
IV. Provider business mailing address
13600 BRETON RIDGE ST UNIT 35B
HOUSTON TX
77070-6023
US
V. Phone/Fax
- Phone: 281-732-0937
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 712620 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP135388 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: