Provider Demographics
NPI:1013162833
Name:ZAPALAC, JULIANE JOY (PA)
Entity Type:Individual
Prefix:
First Name:JULIANE
Middle Name:JOY
Last Name:ZAPALAC
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 AVENUE G
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77414-3541
Mailing Address - Country:US
Mailing Address - Phone:979-245-5721
Mailing Address - Fax:979-245-1482
Practice Address - Street 1:1120 AVENUE G
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-3541
Practice Address - Country:US
Practice Address - Phone:979-245-5721
Practice Address - Fax:979-245-1482
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y9083OtherBCBS
TX306421404Medicaid
TX875N35OtherBC/BS #
TX8L8733Medicare PIN
TXTXB157624Medicare PIN