Provider Demographics
NPI:1679500847
Name:ZAPATA, VICENTE (MD)
Entity Type:Individual
Prefix:DR
First Name:VICENTE
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1325207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114711801Medicaid
TX114711801Medicaid