Healthcare Provider Details

I. General information

NPI: 1457235871
Provider Name (Legal Business Name): LESLY NOHEMI ZAPATA PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7109 N BARTLETT AVE STE 109
LAREDO TX
78041-6473
US

IV. Provider business mailing address

7109 N BARTLETT AVE STE 109
LAREDO TX
78041-6473
US

V. Phone/Fax

Practice location:
  • Phone: 956-727-2122
  • Fax: 956-727-4445
Mailing address:
  • Phone: 956-727-2122
  • Fax: 956-727-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2187737
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: