Healthcare Provider Details
I. General information
NPI: 1013988336
Provider Name (Legal Business Name): JEFFREY S ZAPALAC M.D., F.A.C.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/27/2006
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7200 WYOMING SPRINGS DR STE 1400
ROUND ROCK TX
78681-4306
US
IV. Provider business mailing address
3705 MEDICAL PKWY SUITE 310
AUSTIN TX
78705-1019
US
V. Phone/Fax
- Phone: 512-458-6391
- Fax: 512-580-0097
- Phone: 512-458-6391
- Fax: 512-390-4091
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | K3045 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: