Healthcare Provider Details

I. General information

NPI: 1023124328
Provider Name (Legal Business Name): ZAPATA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 09/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 KENNEDY ST.
ZAPATA TX
78076
US

IV. Provider business mailing address

P.O. BOX 831
ZAPATA TX
78076
US

V. Phone/Fax

Practice location:
  • Phone: 956-765-9942
  • Fax: 956-765-8922
Mailing address:
  • Phone: 956-765-9942
  • Fax: 956-765-8922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number253003
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number253003
License Number StateTX

VIII. Authorized Official

Name: MR. JUAN JOSE MEZA
Title or Position: FIRE CHIEF
Credential:
Phone: 956-765-9942