Provider Demographics
NPI:1225219934
Name:EAST HOUSTON OBGYN & ASSOCIATES
Entity Type:Organization
Organization Name:EAST HOUSTON OBGYN & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VICENTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPATA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-451-3030
Mailing Address - Street 1:1910 JOHN RALSTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77013-5518
Mailing Address - Country:US
Mailing Address - Phone:713-451-3030
Mailing Address - Fax:713-451-6657
Practice Address - Street 1:1910 JOHN RALSTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77013-5518
Practice Address - Country:US
Practice Address - Phone:713-451-3030
Practice Address - Fax:713-451-6657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1325174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151595901Medicaid
TX151595901Medicaid