Healthcare Provider Details

I. General information

NPI: 1073090163
Provider Name (Legal Business Name): DIANA JANESSA ZAPATA PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2018
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3485 FREDERICKSBURG RD STE 4
SAN ANTONIO TX
78201-3848
US

IV. Provider business mailing address

3485 FREDERICKSBURG RD STE 4
SAN ANTONIO TX
78201-3848
US

V. Phone/Fax

Practice location:
  • Phone: 877-432-9355
  • Fax: 866-466-0104
Mailing address:
  • Phone: 877-432-9355
  • Fax: 866-466-0104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number62818
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: