Provider Demographics
NPI:1013031046
Name:AYARZAGOITIA, ZULEMA (LBSW)
Entity Type:Individual
Prefix:
First Name:ZULEMA
Middle Name:
Last Name:AYARZAGOITIA
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12103 STONEY FALLS ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-3427
Mailing Address - Country:US
Mailing Address - Phone:210-496-3749
Mailing Address - Fax:210-496-3759
Practice Address - Street 1:12103 STONEY FALLS ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-3427
Practice Address - Country:US
Practice Address - Phone:210-496-3749
Practice Address - Fax:210-496-3759
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX08555171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator