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NPI Code Detail

MEDICARE: DR. VICTOR ZURITA DDS

MEDICARE: DR. VICTOR ZURITA DDS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry15470TX
21223P0221XPediatric Dentistry15470TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639380595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTOR ZURITA DDS
Provider Business Mailing Address
First Line : 1720 YALE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4032
Country : US
Telephone Number : 713-802-0449
Fax Number : 713-979-0248
Provider Business Practice Location Address
First Line : 1720 YALE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4032
Country : US
Telephone Number : 713-802-0449
Fax Number : 713-979-0248
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 10/23/2017

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Directions to “ DR. VICTOR ZURITA DDS” Practice Location

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