MEDICARE: ANDRES ZEVALLOS MHPP

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1902188279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRES ZEVALLOS MHPP

Provider Business Mailing Address
First Line	:	1600 ALDERSGATE RD
Second Line	:	SUITE 100
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-6614
Country	:	US
Telephone Number	:	501-661-0720
Fax Number	:

Provider Business Practice Location Address
First Line	:	617 E NORTH ST
Second Line	:
City	:	MAGNOLIA
State	:	AR
Zip	:	71753-3120
Country	:	US
Telephone Number	:	501-661-0720
Fax Number	:

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

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	09/13/2011

Similar Medicare Providers

1538023015 — KYLA FRAZIER
Practice Location Address:

621 E NORTH ST
MAGNOLIA, AR
71753-3120

Practice Phone: 870-234-0739
Practice Fax:

1245194729 — JENSYN BELIN
Practice Location Address:

621 E NORTH ST
MAGNOLIA, AR
71753-3120

Practice Phone: 870-234-0739
Practice Fax:

1124218177 — MS. ANITRA LYNETTE BRADFORD LAC
Practice Location Address:

621 E NORTH ST
MAGNOLIA, AR
71753-3120

Practice Phone: 870-234-0739
Practice Fax:

1457598393 — UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC
Practice Location Address:

621 E NORTH ST
MAGNOLIA, AR
71753-3120

Practice Phone: 870-234-0739
Practice Fax: 870-234-0706

1619259454 — ANNETTE SHARP MHPP
Practice Location Address:

617 E NORTH ST
MAGNOLIA, AR
71753-3120

Practice Phone: 870-234-0739
Practice Fax:

1467866186 — SAVANNAH LEWIS LPC-S
Practice Location Address:

617 E NORTH ST
MAGNOLIA, AR
71753-3120

Practice Phone: 870-234-0739
Practice Fax: 870-234-0739

Directions to “ ANDRES ZEVALLOS MHPP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.