Healthcare Provider Details

I. General information

NPI: 1487837621
Provider Name (Legal Business Name): NANCY K ZATOPEK D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2007
Last Update Date: 12/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 HOSPITAL DR
VICTORIA TX
77901-5748
US

IV. Provider business mailing address

301 WILLOW WAY
VICTORIA TX
77904-3851
US

V. Phone/Fax

Practice location:
  • Phone: 361-573-9181
  • Fax: 361-572-5126
Mailing address:
  • Phone: 361-570-3905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberH0976
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: