Provider Demographics
NPI:1467496810
Name:ZAFRA, MILDRED P (MD)
Entity Type:Individual
Prefix:
First Name:MILDRED
Middle Name:P
Last Name:ZAFRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 AGNES ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401-3226
Mailing Address - Country:US
Mailing Address - Phone:361-881-8228
Mailing Address - Fax:361-881-8243
Practice Address - Street 1:1225 AGNES ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-3226
Practice Address - Country:US
Practice Address - Phone:361-881-8228
Practice Address - Fax:361-881-8243
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6429208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics