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NPI Code Detail

MEDICARE: MRS. VILAILUK JANE ZEPEDA PA-C

MEDICARE: MRS. VILAILUK JANE ZEPEDA PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantTX
2390200000XStudent in an Organized Health Care Education/Training Program
3363A00000XPhysician AssistantPA07075TX

General Provider Information

NPI Number : 1336442615
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VILAILUK JANE ZEPEDA PA-C
Provider Business Mailing Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 214-456-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2010
Last Update Date : 02/26/2026

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