Provider Demographics
NPI:1164421608
Name:LOUIS E. ZUNIGA PTPC
Entity Type:Organization
Organization Name:LOUIS E. ZUNIGA PTPC
Other - Org Name:FYZICAL EL PASO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUNIGA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, CHT
Authorized Official - Phone:915-593-4985
Mailing Address - Street 1:8111 N LOOP DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-4160
Mailing Address - Country:US
Mailing Address - Phone:915-593-4985
Mailing Address - Fax:915-593-5187
Practice Address - Street 1:8111 N LOOP DR
Practice Address - Street 2:SUITE B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-4160
Practice Address - Country:US
Practice Address - Phone:915-593-4985
Practice Address - Fax:915-593-5187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX654710000225100000X
261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX456750Medicare PIN