Healthcare Provider Details

I. General information

NPI: 1437328473
Provider Name (Legal Business Name): VERA ZAPATA SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 02/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 SPENCER LN
SAN ANTONIO TX
78201-2109
US

IV. Provider business mailing address

1003 MALTESE GDN
SAN ANTONIO TX
78260-6640
US

V. Phone/Fax

Practice location:
  • Phone: 210-733-9363
  • Fax: 210-733-9383
Mailing address:
  • Phone: 210-481-9137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number19808
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: