Provider Demographics
NPI:1528036068
Name:ZAPATA REGIONAL URGENT CARE
Entity Type:Organization
Organization Name:ZAPATA REGIONAL URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:NEWTON
Authorized Official - Last Name:LIGHTNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-726-0501
Mailing Address - Street 1:2329 STOP23B
Mailing Address - Street 2:801 HWY 83
Mailing Address - City:ZAPATA
Mailing Address - State:TX
Mailing Address - Zip Code:78076-3001
Mailing Address - Country:US
Mailing Address - Phone:956-765-8494
Mailing Address - Fax:956-765-5073
Practice Address - Street 1:2329 STOP23B
Practice Address - Street 2:801 HWY 83
Practice Address - City:ZAPATA
Practice Address - State:TX
Practice Address - Zip Code:78076-3001
Practice Address - Country:US
Practice Address - Phone:956-765-8494
Practice Address - Fax:956-765-5073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00374ZMedicare ID - Type UnspecifiedFACILITY #