Provider Demographics
NPI:1508594276
Name:ZENDEVA INC
Entity Type:Organization
Organization Name:ZENDEVA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:RAQUEL
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:361-453-6990
Mailing Address - Street 1:PO BOX 271943
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78427-1943
Mailing Address - Country:US
Mailing Address - Phone:361-585-9497
Mailing Address - Fax:361-724-3322
Practice Address - Street 1:1005 CONGRESS AVE STE 925-B72
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-2463
Practice Address - Country:US
Practice Address - Phone:361-585-9497
Practice Address - Fax:361-724-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty