Healthcare Provider Details

I. General information

NPI: 1528218336
Provider Name (Legal Business Name): ESTEBAN ZURITA NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 MCPHERSON RD
LAREDO TX
78045-6268
US

IV. Provider business mailing address

110 KANSAS ST
LAREDO TX
78041-3226
US

V. Phone/Fax

Practice location:
  • Phone: 800-893-9698
  • Fax:
Mailing address:
  • Phone: 956-334-2660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number653546
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP117122
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: