Provider Demographics
NPI:1003037441
Name:ZAPLAC, TRUDI (PHD)
Entity Type:Individual
Prefix:DR
First Name:TRUDI
Middle Name:
Last Name:ZAPLAC
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8626 TESORO DR STE 490
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6217
Mailing Address - Country:US
Mailing Address - Phone:210-202-0100
Mailing Address - Fax:
Practice Address - Street 1:2003 PATTERSON DR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5645
Practice Address - Country:US
Practice Address - Phone:361-575-5021
Practice Address - Fax:361-575-0623
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2826103TC0700X
MS36-654103TC0700X
TX35017103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00121883Medicaid
MS00121883Medicaid
680000248Medicare ID - Type UnspecifiedMEDICARE PROVIDER #