Healthcare Provider Details

I. General information

NPI: 1891738647
Provider Name (Legal Business Name): JAMES PETER ZUCCONI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 11/05/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 NORTH FWY SUITE #305
HOUSTON TX
77076-1324
US

IV. Provider business mailing address

7007 NORTH FWY SUITE #305
HOUSTON TX
77076-1324
US

V. Phone/Fax

Practice location:
  • Phone: 713-697-3030
  • Fax: 713-697-5678
Mailing address:
  • Phone: 713-697-3030
  • Fax: 713-697-5678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH5376
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: