MEDICARE: MR. RICHARD ZAPATA CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	250536	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	87796U	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1851396410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD ZAPATA CRNA

Provider Business Mailing Address
First Line	:	1607 VICTORIA DR
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-3069
Country	:	US
Telephone Number	:	936-560-0938
Fax Number	:

Provider Business Practice Location Address
First Line	:	1607 VICTORIA DR
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-3069
Country	:	US
Telephone Number	:	936-560-0938
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	02/26/2009

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Directions to “ MR. RICHARD ZAPATA CRNA” Practice Location

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