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NPI Code Detail

MEDICARE: DR. MARIA TERESITA MACLAN ZAGALA MD

MEDICARE: DR. MARIA TERESITA MACLAN ZAGALA 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
1208000000XPediatrics Physician235977NY

Other Identifiers

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

General Provider Information

NPI Number : 1891704680
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA TERESITA MACLAN ZAGALA MD
Provider Business Mailing Address
First Line : 129 W LAKE MEAD PKWY STE 10
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7055
Country : US
Telephone Number : 702-489-5748
Fax Number : 702-489-5774
Provider Business Practice Location Address
First Line : 129 W LAKE MEAD PKWY
Second Line : SUITE 8
City : HENDERSON
State : NV
Zip : 89015-7055
Country : US
Telephone Number : 702-489-5748
Fax Number : 702-489-5774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 01/16/2019

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