Healthcare Provider Details

I. General information

NPI: 1558500157
Provider Name (Legal Business Name): PATRICIA ZAPATA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 08/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N RAUL LONGORIA RD
SAN JUAN TX
78589
US

IV. Provider business mailing address

801 W 1ST STREET
SAN JUAN TX
78589-2276
US

V. Phone/Fax

Practice location:
  • Phone: 956-781-6077
  • Fax: 956-781-4275
Mailing address:
  • Phone: 956-787-8915
  • Fax: 956-787-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH8902
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: