Healthcare Provider Details

I. General information

NPI: 1679500847
Provider Name (Legal Business Name): VICENTE ZAPATA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 JOHN RALSTON RD SUITE 100
HOUSTON TX
77013-5518
US

IV. Provider business mailing address

1910 JOHN RALSTON RD SUITE 100
HOUSTON TX
77013-5518
US

V. Phone/Fax

Practice location:
  • Phone: 713-451-3030
  • Fax: 713-451-6657
Mailing address:
  • Phone: 713-451-3030
  • Fax: 713-451-6657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberF1325
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: