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NPI Code Detail

MEDICARE: DR. KATHLEEN CRUZ ZUNIGA MD

MEDICARE: DR. KATHLEEN CRUZ ZUNIGA MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1790426203
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN CRUZ ZUNIGA MD
Provider Business Mailing Address
First Line : 4801 ALBERTA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79905-2707
Country : US
Telephone Number : 626-278-5701
Fax Number :
Provider Business Practice Location Address
First Line : 4801 ALBERTA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79905-2707
Country : US
Telephone Number : 626-278-5701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 04/06/2022

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