Healthcare Provider Details

I. General information

NPI: 1942387915
Provider Name (Legal Business Name): MARIA ISABEL ZAPATA-VEGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 04/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2407 S CLEAR CREEK RD
KILLEEN TX
76549-4110
US

IV. Provider business mailing address

PO BOX 938
KILLEEN TX
76540-0938
US

V. Phone/Fax

Practice location:
  • Phone: 254-519-8807
  • Fax: 254-519-8808
Mailing address:
  • Phone: 254-634-6999
  • Fax: 254-200-4099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberP3843
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: