Healthcare Provider Details

I. General information

NPI: 1437442449
Provider Name (Legal Business Name): KRIS ZAPORTEZA M.D., M.B.A., B.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2011
Last Update Date: 05/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 BAYMEADOW DR
HOUSTON TX
77062-2706
US

IV. Provider business mailing address

1006 BAYMEADOW DR
HOUSTON TX
77062-2706
US

V. Phone/Fax

Practice location:
  • Phone: 281-935-5934
  • Fax:
Mailing address:
  • Phone: 281-935-5934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: